# CONCERN OF DURHAM, INC

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

## Provider details

- **NPI number:** 1811050982
- **Authorized official:** MS. GAIL DIANE YASHAR LCSW, MS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 489-5652

## Contact information

- **Practice address:** 3001 ACADEMY RD, SUITE 230, DURHAM, NC 27707-2660
- **Practice address phone:** (919) 489-5652
- **Practice address fax:** (919) 490-6288
- **Mailing address:** 3001 ACADEMY RD, 230, DURHAM, NC 27707-2660
- **Mailing address phone:** (919) 489-5652
- **Mailing address fax:** (919) 490-6288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 032-054 & 032-016 | NC | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 08/23/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0176M | BC/BS | NC |
| 01 | — | 320942 | VALUE OPTIONS PROVIDER NU | NC |
| 05 | — | 6603008 | — | NC |
| 05 | — | 6603009 | — | NC |
| 01 | — | H22001 | DSS PROVIDER NUMBER | NC |
| 01 | — | H22002 | DSS PROVIDER NUMBER | NC |
| 01 | — | MHL-032-016 | MH PROVIDER \# | NC |
| 01 | — | MHL-032-054 | MENTAL HEALTH PROVIDER \# | NC |