Beacon Bridge Llc | |
415 Dunstan Ave Ste B Durham NC 27707-2390 | |
(984) 282-6654 | |
Not Available |
Full Name | Beacon Bridge Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 415 Dunstan Ave Ste B, Durham, North Carolina |
Authorized Official Name and Position | Alexander Peter Yousif (CEO) |
Authorized Official Contact | 9842826654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beacon Bridge Llc 415 Dunstan Ave Suite B Durham NC 27707 Ph: (833) 496-0445 | Beacon Bridge Llc 415 Dunstan Ave Ste B Durham NC 27707-2390 Ph: (984) 282-6654 |
NPI Number | 1194583864 |
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Provider Enumeration Date | 03/07/2024 |
Last Update Date | 06/02/2024 |
Certification Date | 06/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194583864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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