| Diverse Family Services | |
|
2402 S Miami Blvd Ste 108 Durham NC 27703-4927 | |
| (919) 572-8833 | |
| (919) 572-0044 |
| Full Name | Diverse Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2402 S Miami Blvd, Durham, North Carolina |
| Authorized Official Name and Position | Kristin M Jones (CEO) |
| Authorized Official Contact | 9195728833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Family Services 2402 S Miami Blvd Ste 108 Durham NC 27703-4927 Ph: (919) 572-8833 | Diverse Family Services 2402 S Miami Blvd Ste 108 Durham NC 27703-4927 Ph: (919) 572-8833 |
| NPI Number | 1780985523 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780985523 | NPI | - | NPPES |
| 8302285V | Medicaid | NC | |
| 8303051R | Medicaid | NC | |
| 5914106 | Medicaid | NC | |
| 8302285H | Medicaid | NC | |
| 6006871 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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