Organization
CENTER FOR BEHAVIOR AND SOCIAL CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH EDWARD GREEN M.ED., ADB (EXECUTIVE DIRECTOR)
(919) 270-3232
Entity
Organization
Contact information
Practice address
4304 FOREST EDGE TRL, DURHAM, NC 27705-7346
(919) 270-3232
(919) 287-2305
Mailing address
4304 FOREST EDGE TRL, DURHAM, NC 27705-7346
(919) 270-3232
(919) 287-2305
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409554
—
NC
Enumeration date
02/21/2008
Last updated
02/21/2008
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