| Thompson Child & Family Focus | |
|
6015 Fayetteville Rd Durham NC 27713-6254 | |
| (919) 294-6862 | |
| (919) 294-9286 |
| Full Name | Thompson Child & Family Focus |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6015 Fayetteville Rd, Durham, North Carolina |
| Authorized Official Name and Position | Mary Elizabeth Porras Kantrowitz (ACCOUNTS RECEIVABLE) |
| Authorized Official Contact | 7045360375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thompson Child & Family Focus 6800 Saint Peters Ln Matthews NC 28105-8458 Ph: (704) 536-0375 | Thompson Child & Family Focus 6015 Fayetteville Rd Durham NC 27713-6254 Ph: (919) 294-6862 |
| NPI Number | 1063754919 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063754919 | NPI | - | NPPES |
| DSS4156A | Other | NC | DSS FOSTER CARE LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
| 253J00000X | Foster Care Agency | (North Carolina) | Secondary |
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