| Fonseca Family Services | |
|
10 Tennyson Pl Durham NC 27704-3043 | |
| (919) 220-0500 | |
| Not Available |
| Full Name | Fonseca Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10 Tennyson Pl, Durham, North Carolina |
| Authorized Official Name and Position | Gernisha Allana Fonseca (CEO) |
| Authorized Official Contact | 9192200500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fonseca Family Services 10 Tennyson Pl Durham NC 27704-3043 Ph: (919) 220-0500 | Fonseca Family Services 10 Tennyson Pl Durham NC 27704-3043 Ph: (919) 220-0500 |
| NPI Number | 1306960414 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306960414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 19067 (North Carolina) | Primary |
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