Organization
ASSOCIATED FAMILY AND LIFE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WINSTON VICKERS BSBA (DIRECTOR)
(919) 724-9157
Entity
Organization
Contact information
Practice address
2144 PAGE RD, SUITE 204, DURHAM, NC 27703-5952
(919) 797-2507
(919) 908-8207
Mailing address
2144 PAGE RD, SUITE 204, DURHAM, NC 27703-5952
(919) 797-2507
(919) 908-8207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
10/09/2008
Last updated
05/12/2014
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