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Organization

U.P.L.I.F.T. ENRICHMENT CENTER, INC.

Active
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Organization

U.P.L.I.F.T. ENRICHMENT CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AYANAH DAA'IYAH MUHAMMAD BS, QMHP (PROGRAM DIRECTOR)
(919) 672-3405
Entity
Organization

Contact information

Practice address
5108 REVERE RD, DURHAM, NC 27713-2421
(919) 451-8530
(877) 487-3012
Mailing address
5108 REVERE RD, DURHAM, NC 27713-2421
(919) 451-8530
(877) 487-3012

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24882
NC

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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