Organization
CAROLINA ADOLESCENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMEON AUREICE MCCAIN (CHIEF EXECUTIVE OFFICER)
(919) 493-4100
Entity
Organization
Contact information
Practice address
3711 UNIVERSITY DR STE C, DURHAM, NC 27707-2654
(919) 493-4100
(866) 571-8315
Mailing address
3711 UNIVERSITY DR STE C, DURHAM, NC 27707-2654
(919) 493-4100
(866) 571-8315
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
023448
NC
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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