Organization
DESTINY HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSWALD NWOGBO (DIRECTOR)
(919) 454-7725
Entity
Organization
Contact information
Practice address
630 RIPPLING STREAM RD, DURHAM, NC 27704-1233
(919) 454-7725
(919) 231-3736
Mailing address
1708 VINTAGE RD, RALEIGH, NC 27610-3187
(919) 454-7725
(919) 231-3736
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-032-389
NC
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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