Organization
IMPACT COMMUNITY AND COORDINATED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOWANDA RAWLS BOOKER (AGENCY DIRECTOR)
(919) 471-8888
Entity
Organization
Contact information
Practice address
2605 CARVER ST, DURHAM, NC 27705-2720
(919) 471-8888
(919) 471-8888
Mailing address
2605 CARVER ST, DURHAM, NC 27705-2720
(919) 471-8888
(919) 471-8888
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NC
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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