Organization
MCMC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C MONTALVO-COLLINS (OWNER)
(919) 598-1144
Entity
Organization
Contact information
Practice address
24 GWENDOLYN CIR, DURHAM, NC 27703-2903
(919) 598-1144
(919) 598-1144
Mailing address
24 GWENDOLYN CIR, DURHAM, NC 27703-2903
(919) 598-1144
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
07/07/2010
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