Organization
ANFO CHILDREN AND ADULT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANTA L PAGE (EXECUTIVE DIRECTOR/OWNER)
(919) 519-8040
Entity
Organization
Contact information
Practice address
3604 WITHERSPOON BLVD, SUITE 111, PMB 233, DURHAM, NC 27707-6850
(919) 519-8040
Mailing address
2514 N ROXBORO ST, DURHAM, NC 27704-4348
(919) 519-8040
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL032460
NC
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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