Organization
INNOVATIVE PROGRAMING AND ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE COLEY (BILLING SUPERVISOR)
(910) 483-0734
Entity
Organization
Contact information
Practice address
4011 UNIVERSITY DR, DURHAM, NC 27707-2549
(910) 483-0734
(910) 483-9403
Mailing address
111 LAMON ST STE 202, FAYETTEVILLE, NC 28301-4957
(910) 483-0734
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL032194
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603930
—
NC
Enumeration date
08/28/2007
Last updated
08/28/2007
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