Organization
FONSECA FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERNISHA ALLANA FONSECA (CEO)
(919) 220-0500
Entity
Organization
Contact information
Practice address
10 TENNYSON PL, DURHAM, NC 27704-3043
(919) 220-0500
Mailing address
10 TENNYSON PL, DURHAM, NC 27704-3043
(919) 220-0500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
19067
NC
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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