Organization
CREATING NEW DESTINIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANN VENABLE (OWNER/MEMBER ORGANIZER)
(919) 824-3003
Entity
Organization
Contact information
Practice address
3326 GUESS RD, SUITE 101, DURHAM, NC 27705-2160
(919) 824-3003
Mailing address
3326 GUESS RD, SUITE 101, DURHAM, NC 27705-2160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24701
NC
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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