Organization
HERBERT WAY OF LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY J JENKINS (DIRECTOR)
(919) 220-2370
Entity
Organization
Contact information
Practice address
810 CARTMAN DR, DURHAM, NC 27704-2318
(919) 220-2370
(919) 317-8906
Mailing address
PO BOX 15034, DURHAM, NC 27704-0034
(919) 220-2370
(919) 317-8906
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-032-503
NC
Other
Enumeration date
10/27/2009
Last updated
01/18/2010
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