Organization
SIXTH STREET DDA GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS EUGENE TORAIN (OWNER)
(336) 222-1812
Entity
Organization
Contact information
Practice address
313 E 6TH ST, BURLINGTON, NC 27215-5732
(336) 222-1812
Mailing address
313 E 6TH ST, BURLINGTON, NC 27215-5732
(336) 222-1812
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
DDL001024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804366
—
NC
Enumeration date
02/16/2007
Last updated
08/22/2020
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