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Organization
FULL POTENTIAL BEHAVIORAL HEALTH CARE, INC.
Active
Organization
FULL POTENTIAL BEHAVIORAL HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLORENCE OLUCHI IKECHUKWU LCAS, PHD, CSAPC, P- (CLINICAL DIRECTOR)
(919) 697-1385
Entity
Organization
Contact information
Practice address
1530 N GREGSON ST STE 3-D, DURHAM, NC 27701-1155
(919) 321-6171
Mailing address
1530 N GREGSON ST STE 3-D, DURHAM, NC 27701-1155
(919) 321-6171
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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