Organization
INTOUCH OF CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVETTA BOLDIN (CEO/OWNER)
(919) 904-2966
Entity
Organization
Contact information
Practice address
2905 SKYBROOK LN, DURHAM, NC 27703-5978
(919) 904-2966
(888) 965-9951
Mailing address
PO BOX 3619, CHAPEL HILL, NC 27515-3619
(919) 904-2966
(888) 965-9951
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9700466
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
9700466
NC
103T00000X
Psychologist
Primary
9700466
NC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
9700466
NC
103TC2200X
Clinical Child & Adolescent Psychologist
9700466
NC
251B00000X
Case Management Agency
9700466
NC
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
9700466
NC
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
9700466
NC
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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