# ATHENS PLACE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHP OF NC, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184016636
- **Legal business name:** PHP OF NC, INC
- **Authorized official:** MRS. JUSTINE WIGGINS (CEO)
- **Authorized official phone:** (919) 220-0021

## Contact information

- **Practice address:** 1500 E CLUB BLVD, DURHAM, NC 27704-3404
- **Practice address phone:** (919) 220-0021
- **Practice address fax:** (919) 220-4555
- **Mailing address:** 1921 ATHENS AVE, DURHAM, NC 27707-4315
- **Mailing address phone:** (919) 220-0021
- **Mailing address fax:** (919) 220-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL032597 | NC | Yes |

## Other

- **Enumeration date:** 02/20/2015
- **Last updated:** 02/20/2015