Organization
JUBILEE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLTON JOHNSON LCSW-A (DIRECTOR OF RESIDENT CARE)
(919) 381-4431
Entity
Organization
Contact information
Practice address
1213 DAWKINS STREET, UNIT A, DURHAM, NC 27707
(919) 381-4431
Mailing address
1213 DAWKINS STREET, UNIT A, DURHAM, NC 27707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
—
175T00000X
Peer Specialist
Primary
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
305S00000X
Point of Service
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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