Organization
PSYCHOTHERAPEUTIC COMMUNITY SERVICES ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA LYNN CLENDANIEL (BILLING MANAGER)
(410) 810-2465
Entity
Organization
Contact information
Practice address
400 W MAIN ST, SUITE 501, DURHAM, NC 27701
(336) 269-1774
Mailing address
400 W MAIN ST, SUITE 501, DURHAM, NC 27701
(410) 778-9114
(410) 778-7988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
10/18/2016
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