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Organization

AIDS COMMUNITY RESIDENCE ASSOCIATION

Active
Other names
ACRA
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANICE SHERROLL JOHNSON (EXECUTIVE DIRECTOR)
(919) 956-7901
Entity
Organization

Contact information

Practice address
1017 COOK RD, DURHAM, NC 27713-2767
(919) 688-0843
(919) 321-2193
Mailing address
4404 GUESS RD, DURHAM, NC 27712-2620
(919) 956-7901
(919) 321-2193

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8700394
NC
Enumeration date
09/14/2007
Last updated
09/14/2007
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