Organization
JUSTUS OJWANG, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA LEAK (OWNER)
(919) 416-0000
Entity
Organization
Contact information
Practice address
1530 N GREGSON ST STE 2B, DURHAM, NC 27701-1164
(919) 416-0000
Mailing address
1530 N GREGSON ST, DURHAM, NC 27701-1155
(919) 416-0000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
C006123
NC
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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