| Branching Out | |
|
412 W Markham Ave Durham NC 27701-1616 | |
| (919) 884-1542 | |
| Not Available |
| Full Name | Branching Out |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 412 W Markham Ave, Durham, North Carolina |
| Authorized Official Name and Position | Liane Kenya Chestnut (DIRECTOR) |
| Authorized Official Contact | 9198841542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branching Out 412 West Markham Ave Durham NC 27701 Ph: (919) 884-1542 | Branching Out 412 W Markham Ave Durham NC 27701-1616 Ph: (919) 884-1542 |
| NPI Number | 1013148956 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 07/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013148956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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