# CAROLINA ADOLESCENT CENTER, INC

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

## Provider details

- **NPI number:** 1841454543
- **Authorized official:** MR. DAMEON AUREICE MCCAIN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 493-4100

## Contact information

- **Practice address:** 3711 UNIVERSITY DR STE C, DURHAM, NC 27707-2654
- **Practice address phone:** (919) 493-4100
- **Practice address fax:** (866) 571-8315
- **Mailing address:** 3711 UNIVERSITY DR STE C, DURHAM, NC 27707-2654
- **Mailing address phone:** (919) 493-4100
- **Mailing address fax:** (866) 571-8315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 023448 | NC | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 07/11/2008