Organization
GENESIS DWI SERVICES, LLC
Active
Other names
Genesis DWI Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRICE FREEMAN DOCKERY (OWNER)
(919) 321-6643
Entity
Organization
Contact information
Practice address
118 E MAIN ST, DURHAM, NC 27701-3602
(919) 321-6643
Mailing address
118 E MAIN ST, DURHAM, NC 27701-3602
(919) 321-6643
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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