Organization
STRIVING FOR EXCELLENCE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI GLADNEY (OWNER)
(919) 294-8487
Entity
Organization
Contact information
Practice address
3704 FOUR SEASONS DR, DURHAM, NC 27707-4724
(919) 294-8487
Mailing address
3704 FOUR SEASONS DR, DURHAM, NC 27707-4724
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-032-497
NC
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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