| Srfc,inc. | |
|
3711 University Dr Suite C Durham NC 27707-2654 | |
| (919) 405-2700 | |
| (919) 405-2740 |
| Full Name | Srfc,inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3711 University Dr, Durham, North Carolina |
| Authorized Official Name and Position | Carolyn Brooks (PRESIDENT) |
| Authorized Official Contact | 9194052700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srfc,inc. 3711 University Dr Suite C Durham NC 27707-2654 Ph: (919) 405-2700 | Srfc,inc. 3711 University Dr Suite C Durham NC 27707-2654 Ph: (919) 405-2700 |
| NPI Number | 1457653925 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 8224212584 |
|---|---|
| Medicare Enrollment ID | O20110411000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457653925 | NPI | - | NPPES |
| 6005920 | Medicaid | NC | |
| 590872 | Medicaid | NC | |
| 8301603 | Medicaid | NC | |
| 3408048 | Medicaid | NC | |
| 8301665 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Renee G Walkowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487818753 PECOS PAC ID: 6608036744 Enrollment ID: I20120327000426 |
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