Organization
BEYOND CHALLENGES COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERVIN DAVIS III (CEO)
(919) 605-9981
Entity
Organization
Contact information
Practice address
1302 DABNEY DR, HENDERSON, NC 27536-3531
(252) 572-2167
Mailing address
316 STALLINGS RD, DURHAM, NC 27703-3808
(252) 572-2167
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
091095
NC
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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