Organization
NC CENTER FOR AUTISTIC WOMEN AND GIRLS
Active
Organization
NC CENTER FOR AUTISTIC WOMEN AND GIRLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ELIZABETH GOLDBLUM PHD (EVALUATOR)
(505) 227-1325
Entity
Organization
Contact information
Practice address
6011 FAYETTEVILLE RD STE 106, DURHAM, NC 27713-6248
(919) 228-8276
Mailing address
6011 FAYETTEVILLE RD STE 106, DURHAM, NC 27713-6248
(919) 228-8276
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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