# DESTINY HOME, INC. \#2

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295965473
- **Authorized official:** OSWALD NWOGBO (CEO)
- **Authorized official phone:** (919) 454-7725

## Contact information

- **Practice address:** 1708 VINTAGE RD, RALEIGH, NC 27610-3187
- **Practice address phone:** (919) 454-7725
- **Practice address fax:** (919) 231-3736
- **Mailing address:** 234 SEVEN OAKS RD, DURHAM, NC 27704-1125
- **Mailing address phone:** (919) 454-7725
- **Mailing address fax:** (919) 231-3736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | MHL-032-487 | NC | Yes |

## Other

- **Enumeration date:** 07/21/2009
- **Last updated:** 07/21/2009