Organization
BREAKTHROUGH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN H. LONG BSN, RN (EXECUTIVE DIRECTOR)
(919) 493-2791
Entity
Organization
Contact information
Practice address
6 CONSULTANT PL # 100, DURHAM, NC 27707-3598
(919) 493-2791
Mailing address
6 CONSULTANT PL # 100, DURHAM, NC 27707-3598
(919) 493-2791
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301002B
—
NC
05
—
8301002G
—
NC
05
—
8301002P
—
NC
05
—
8301002Q
—
NC
Enumeration date
02/12/2008
Last updated
02/12/2008
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