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Organization
UNC
Active
Organization
UNC
Active
Parent organization
MHL-068-107
Other names
UNC-Horizons Clinic Community Support
Organization subpart
Yes
Provider details
NPI number
Legal business name
MHL-068-107
Authorized official
MRS. CONSTANCE RENZ LCSW (DIRECTOR)
(919) 966-9803
Entity
Organization
Contact information
Practice address
101 MANNING DR, WOMEN'S HOSPITAL OBGYN CLINIC C, CHAPEL HILL, NC 27514-4220
(919) 966-9803
Mailing address
400 ROBERSON ST, CARRBORO, NC 27510-2367
(919) 966-9803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-068-107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300698B
—
NC
Enumeration date
01/08/2008
Last updated
01/08/2008
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