Organization
MORSE CLINIC OF DURHAM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MICHELLE KORNEGAY LCAS (CEO)
(919) 294-9621
Entity
Organization
Contact information
Practice address
4119 CAPITOL ST, DURHAM, NC 27704-2153
(919) 294-9621
(919) 294-9794
Mailing address
4119 CAPITOL ST, DURHAM, NC 27704-2153
(919) 294-9621
(919) 294-9794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
NC
Enumeration date
06/07/2021
Last updated
10/17/2022
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