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Organization
CHANGING PLACES
Active
Organization
CHANGING PLACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD BROWN SR. (OWNER)
(919) 479-9050
Entity
Organization
Contact information
Practice address
725 HANSON RD, DURHAM, NC 27713-1117
(919) 479-9050
(919) 479-9055
Mailing address
3925 N DUKE ST, SUITE 102-A, DURHAM, NC 27704-1780
(919) 479-9050
(919) 479-9055
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
FCL-032-119
NC
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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