NPI 1811254972

Changing Places

Organisation Physical Disabilities Residential Treatment Facility Durham, NC

Practice location

Address: 725 Hanson Rd, Durham, NC 27713-1117
Phone: (919) 479-9050
Fax: (919) 479-9055
Mailing address: 3925 N Duke St Suite 102-A, Durham, NC 27704-1780

Authorised official

Name: Donald Brown
Title: Owner
Phone: (919) 479-9050

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence FCL-032-119 (NC)

Other Residential Treatment Facility, Physical Disabilities providers in North Carolina →

Registry record

NPI: 1811254972
Entity type: Organization
NPI issued: 13 Apr 2012
Record last updated: 13 Apr 2012

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.