Organization
PHASES OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA B BURWELL (CEO)
(919) 691-0800
Entity
Organization
Contact information
Practice address
123 SLATEWORTH DR, DURHAM, NC 27703-6183
(919) 638-5141
Mailing address
123 SLATEWORTH DR, DURHAM, NC 27703-6183
(919) 638-5141
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
06/28/2007
Last updated
09/11/2025
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