NPI 1568857688

Psychotherapeutic Community Services Assoc

Organisation Preferred Provider Organization Durham, NC

Practice location

Address: 400 W Main St STE 501, Durham, NC 27701-3295
Phone: (919) 530-8888

Authorised official

Name: Marcia Lynn Clendaniel
Title: Billing Manager
Phone: (410) 810-2465

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2662-A (NC)

Other Preferred Provider Organization providers in North Carolina →

Registry record

NPI: 1568857688
Entity type: Organization
NPI issued: 6 Apr 2015
Record last updated: 18 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.