Organization
CHANCE HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DESHAWNTA RENAE LUCAS (EXCECUTIVE DIRECTOR)
(919) 337-6434
Entity
Organization
Contact information
Practice address
1305 HENDREN CIR, RALEIGH, NC 27610-4937
(919) 836-7600
Mailing address
1305 HENDREN CIR, RALEIGH, NC 27610-4937
(919) 836-7600
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-092-737
NC
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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