Organization
ANFO CHILD AND ADULT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO FOZARD (OWNER)
(919) 697-6957
Entity
Organization
Contact information
Practice address
3519 FAYETTEVILLE ST, DURHAM, NC 27707-4714
(919) 806-2833
Mailing address
3519 FAYETTEVILLE ST, DURHAM, NC 27707-4714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NOT YET ISSUED
—
NC
Enumeration date
08/27/2009
Last updated
08/27/2009
Update your record
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