Organization
COMPREHENSIVE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BATTS GOWINS QDDP (PRESIDENT)
(919) 489-4202
Entity
Organization
Contact information
Practice address
804 PARK RIDGE RD, APT 8A, DURHAM, NC 27713-9227
(919) 548-8938
(919) 493-0310
Mailing address
3308 DURHAM CHAPEL HILL BLVD, SUITE F, DURHAM, NC 27707-2694
(919) 402-0323
(919) 402-9435
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408643
—
NC
Enumeration date
08/10/2015
Last updated
08/10/2015
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