Family Legacy Mental Health Services Inc | |
1007 Broad St Durham NC 27705-4143 | |
(919) 834-2000 | |
(919) 834-2001 |
Full Name | Family Legacy Mental Health Services Inc |
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Speciality | Community/behavioral Health |
Location | 1007 Broad St, Durham, North Carolina |
Authorized Official Name and Position | Lisa Dyan Stacey (CEO) |
Authorized Official Contact | 9198342000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Legacy Mental Health Services Inc 1011 Schaub Dr Suite 200 Raleigh NC 27606-1862 Ph: (919) 834-2000 | Family Legacy Mental Health Services Inc 1007 Broad St Durham NC 27705-4143 Ph: (919) 834-2000 |
NPI Number | 1932371655 |
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Provider Enumeration Date | 04/02/2008 |
Last Update Date | 06/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932371655 | NPI | - | NPPES |
8302925 | Medicaid | NC | |
8302411 | Medicaid | NC | |
5913953 | Medicaid | NC | |
6006506 | Medicaid | NC |
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