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Organization
STRENGTHENING THE BLACK FAMILY
Active
Organization
STRENGTHENING THE BLACK FAMILY
Active
Other names
Project DIRECT ADA Recogniztion Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE O WATSON (EXECUTIVE DIRECTOR)
(919) 856-5405
Entity
Organization
Contact information
Practice address
568 E LENOIR ST, RALEIGH, NC 27601-2408
(919) 856-6540
(919) 856-6575
Mailing address
PO BOX 28716, RALEIGH, NC 27611-8716
(919) 856-6540
(919) 856-6575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005626
AMERICAN DIABETES ASSOCIATION
NC
Enumeration date
12/31/2009
Last updated
12/31/2009
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