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Organization
BOYS TO GENTLEMEN
Active
Organization
BOYS TO GENTLEMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRAIN WELLS MEADOWS (OWNER)
(919) 598-5355
Entity
Organization
Contact information
Practice address
202 CLAYTON RD, DURHAM, NC 27703-3508
(919) 957-1191
(919) 598-5166
Mailing address
202 CLAYTON RD, DURHAM, NC 27703-3508
(919) 957-1191
(919) 598-5166
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL 032-290
NC
Other
Enumeration date
11/30/2006
Last updated
09/27/2007
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