Organization
INFANTS, CHILDREN, ADULTS, ADOLESCENTS/JUVENILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA MICHELLE ELDER BBA, QP (OWNER/CEO)
(919) 201-0052
Entity
Organization
Contact information
Practice address
2707 N ROXBORO ST, DURHAM, NC 27704-4351
(919) 201-0052
Mailing address
PO BOX 15928, DURHAM, NC 27704-0928
(919) 283-0005
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/27/2007
Last updated
03/12/2008
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