Organization
KINDER LOVE HOMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMETKA BLOUNT PITTMAN (CEO)
(919) 454-7761
Entity
Organization
Contact information
Practice address
1202 ELLIS RD, DURHAM, NC 27703-6027
(919) 454-7761
(919) 326-1699
Mailing address
908 PENNCROSS DR, RALEIGH, NC 27610-2185
(919) 454-7761
(919) 326-1699
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
032458
NC
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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