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Organization
UPWARD CHANGE
Active
Organization
UPWARD CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL WILLIAMS (UM MANAGER)
(919) 682-5300
Entity
Organization
Contact information
Practice address
2314 S MIAMI BLVD, DURHAM, NC 27703-5793
(919) 682-5300
Mailing address
2314 S MIAMI BLVD, DURHAM, NC 27703-5793
(919) 682-5300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P009004
NC
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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