| Exchange Clubs Child Abuse Prevention Center | |
|
3400 Croasdaile Dr Ste 206 Durham NC 27705-6815 | |
| (919) 403-8249 | |
| Not Available |
| Full Name | Exchange Clubs Child Abuse Prevention Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3400 Croasdaile Dr Ste 206, Durham, North Carolina |
| Authorized Official Name and Position | Leah Santibanez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9194038249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exchange Clubs Child Abuse Prevention Center 3400 Croasdaile Dr Ste 206 Durham NC 27705-6815 Ph: (919) 403-8249 | Exchange Clubs Child Abuse Prevention Center 3400 Croasdaile Dr Ste 206 Durham NC 27705-6815 Ph: (919) 403-8249 |
| NPI Number | 1336990340 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336990340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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