| Towergate Youth And Family Services, Inc. | |
|
201 W Main St Suite B16 Durham NC 27701-3228 | |
| (704) 701-2123 | |
| (704) 793-1882 |
| Full Name | Towergate Youth And Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 W Main St, Durham, North Carolina |
| Authorized Official Name and Position | Brad Joseph Lessane (VP FINANCE) |
| Authorized Official Contact | 7047012123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Towergate Youth And Family Services, Inc. Po Box 822 Concord NC 28026-0822 Ph: (704) 701-2123 | Towergate Youth And Family Services, Inc. 201 W Main St Suite B16 Durham NC 27701-3228 Ph: (704) 701-2123 |
| NPI Number | 1801933528 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801933528 | NPI | - | NPPES |
| 8301758B | Medicaid | NC | |
| 8301758G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-060-822 (North Carolina) | Primary |
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