Organization
DOMINION MINISTRIES
Active
Other names
Child Adolescent
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA DENNIS JOHNSON (EXECUTIVE ASSISTANT)
(919) 416-1830
Entity
Organization
Contact information
Practice address
1530 N GREGSON ST, SUITE 3D, DURHAM, NC 27701-1155
(919) 416-1830
(919) 416-8883
Mailing address
1530 N GREGSON ST, SUITE 3D, DURHAM, NC 27701-1155
(919) 416-1830
(919) 416-8883
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300909R
—
NC
Enumeration date
09/13/2007
Last updated
09/13/2007
Update your record
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