Organization
FULL POTENTIAL BEHAVIORAL HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLORENCE OLUCHI IKECHUKWU LCAS, PHD, CSAPC, P- (CLINICAL DIRECTOR)
(919) 697-1385
Entity
Organization
Contact information
Practice address
1530 N GREGSON ST STE 3-D, DURHAM, NC 27701-1155
(919) 321-6171
Mailing address
1530 N GREGSON ST STE 3-D, DURHAM, NC 27701-1155
(919) 321-6171
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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