Individual
CAROL ADRIENNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2509 ROLLING PINES AVE, DURHAM, NC 27703-5933
(919) 598-6416
Mailing address
2509 ROLLING PINES AVE, DURHAM, NC 27703-5933
(919) 598-6416
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
032317
NC
Other
Enumeration date
04/04/2007
Last updated
11/01/2016
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