Organization
DIVERSE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN M JONES MPA (CEO)
(919) 572-8833
Entity
Organization
Contact information
Practice address
2402 S MIAMI BLVD, STE 108, DURHAM, NC 27703-4927
(919) 572-8833
(919) 572-0044
Mailing address
2402 S MIAMI BLVD, STE 108, DURHAM, NC 27703-4927
(919) 572-8833
(919) 572-0044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914106
—
NC
05
—
6006871
—
NC
05
—
8302285H
—
NC
05
—
8302285V
—
NC
05
—
8303051R
—
NC
Enumeration date
11/10/2010
Last updated
11/10/2010
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