Organization
COMPREHENSIVE COMMUNITY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BATTS-GOWINS QP (DIRECTOR OF QUALITY ASSURANCE)
(919) 489-4202
Entity
Organization
Contact information
Practice address
106 MONTCLAIR CIR, DURHAM, NC 27713-2517
(919) 489-4202
(919) 402-9435
Mailing address
3308 DURHAM CHAPEL HILL BLVD, BLDG F, DURHAM, NC 27707-2694
(919) 489-4202
(919) 402-9435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL032248
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408643
—
NC
Enumeration date
07/16/2014
Last updated
07/21/2022
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