Organization
BOYS TO GENTLEMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRAIN W MEADOWS (OWNER)
(919) 598-5355
Entity
Organization
Contact information
Practice address
202 CLAYTON RD, DURHAM, NC 27703-3508
(919) 598-5355
Mailing address
202 CLAYTON RD, DURHAM, NC 27703-3508
(919) 598-5355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301594
—
NC
Enumeration date
05/07/2007
Last updated
08/22/2020
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