Organization
LITTLE WING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER HARELSON (OWNER)
(919) 260-3345
Entity
Organization
Contact information
Practice address
21 W COLONY PL STE 130, DURHAM, NC 27705-7201
(919) 260-3345
Mailing address
21 W COLONY PL STE 130, DURHAM, NC 27705-7201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5466
NC
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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