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Organization
SOUTH SHORE MENTAL HEALTH
Active
Organization
SOUTH SHORE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA GOODEN-ALEXIS (SELF)
(919) 323-0381
Entity
Organization
Contact information
Practice address
4820 SWANNS MILL DR, DURHAM, NC 27704-1492
(919) 323-0381
Mailing address
4820 SWANNS MILL DR, DURHAM, NC 27704-1492
(919) 323-0381
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
5736
MA
251K00000X
Public Health or Welfare Agency
Primary
6748
NC
Other
Enumeration date
10/11/2006
Last updated
11/17/2008
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