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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