| Full Potential Behavioral Health Care, Inc. | |
|
1530 N Gregson St Ste 3-d Durham NC 27701-1155 | |
| (919) 321-6171 | |
| Not Available |
| Full Name | Full Potential Behavioral Health Care, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1530 N Gregson St Ste 3-d, Durham, North Carolina |
| Authorized Official Name and Position | Florence Oluchi Ikechukwu (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9196971385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Potential Behavioral Health Care, Inc. 1530 N Gregson St Ste 3-d Durham NC 27701-1155 Ph: (919) 321-6171 | Full Potential Behavioral Health Care, Inc. 1530 N Gregson St Ste 3-d Durham NC 27701-1155 Ph: (919) 321-6171 |
| NPI Number | 1689815334 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 03/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689815334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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