| Boys To Gentlemen | |
|
202 Clayton Rd Durham NC 27703-3508 | |
| (919) 598-5355 | |
| Not Available |
| Full Name | Boys To Gentlemen |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 Clayton Rd, Durham, North Carolina |
| Authorized Official Name and Position | Lorrain W Meadows (OWNER) |
| Authorized Official Contact | 9195985355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys To Gentlemen 202 Clayton Rd Durham NC 27703-3508 Ph: (919) 598-5355 | Boys To Gentlemen 202 Clayton Rd Durham NC 27703-3508 Ph: (919) 598-5355 |
| NPI Number | 1356553630 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356553630 | NPI | - | NPPES |
| 8301594 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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