Organization
INNOVATIVE FAMILY CARE OF NC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD RODERICK HARRISON (PRESIDENT)
(919) 730-4763
Entity
Organization
Contact information
Practice address
2515 NC HWY 55 SUITE A, DURHAM, NC 27713
(919) 730-4763
Mailing address
2515 NC HWY 55 SUITE A, DURHAM, NC 27713
(919) 730-4763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
27390
NC
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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