Organization
ALPHA HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY NWANCHA (CEO)
(919) 323-4206
Entity
Organization
Contact information
Practice address
1119 PENZANCE ST, DURHAM, NC 27704-1505
(919) 323-4206
(919) 323-4206
Mailing address
1119 PENZANCE ST, DURHAM, NC 27704-1505
(919) 323-4206
(919) 323-4206
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
MLH-032-368
NC
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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