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Organization
AN OUT OF THE BOX EXPERIENCE, P.C.
Active
Organization
AN OUT OF THE BOX EXPERIENCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENI SANITA CHURCH-HINES LCMHC (OWNER)
(984) 222-9272
Entity
Organization
Contact information
Practice address
131 SOUTHERLAND ST, DURHAM, NC 27703-2315
(984) 222-9272
(919) 339-3036
Mailing address
4801 SWANNS MILL DR, DURHAM, NC 27704-1493
(984) 222-9272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
07/07/2021
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