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Organization
DUKE UNIVERSITY
Active
Organization
DUKE UNIVERSITY
Active
Other names
Child Development & Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
J SCOTT GIBSON (EXECUTIVE VICE DEAN ADMINISTRATION)
(919) 684-8111
Entity
Organization
Contact information
Practice address
402 TRENT DR, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01446
BCBS
NC
05
—
6005177
—
NC
Enumeration date
08/25/2006
Last updated
09/12/2023
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