| Infants, Children, Adults, Adolescents/juveniles, Llc | |
|
2707 N Roxboro St Durham NC 27704-4351 | |
| (919) 201-0052 | |
| Not Available |
| Full Name | Infants, Children, Adults, Adolescents/juveniles, Llc |
|---|---|
| Speciality | Case Management |
| Location | 2707 N Roxboro St, Durham, North Carolina |
| Authorized Official Name and Position | Alicia Michelle Elder (OWNER/CEO) |
| Authorized Official Contact | 9192010052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infants, Children, Adults, Adolescents/juveniles, Llc Po Box 15928 Durham NC 27704-0928 Ph: () - | Infants, Children, Adults, Adolescents/juveniles, Llc 2707 N Roxboro St Durham NC 27704-4351 Ph: (919) 201-0052 |
| NPI Number | 1013196948 |
|---|---|
| Provider Enumeration Date | 10/27/2007 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013196948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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