| Uca Behavioral Support Services, Llc | |
|
2530 Meridian Pkwy Ste 300 Durham NC 27713-5273 | |
| (919) 408-9082 | |
| Not Available |
| Full Name | Uca Behavioral Support Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2530 Meridian Pkwy Ste 300, Durham, North Carolina |
| Authorized Official Name and Position | Dietrix Urquhart (OWNER) |
| Authorized Official Contact | 9194089082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uca Behavioral Support Services, Llc 74 Whitesell Way Durham NC 27703-0747 Ph: (919) 408-9082 | Uca Behavioral Support Services, Llc 2530 Meridian Pkwy Ste 300 Durham NC 27713-5273 Ph: (919) 408-9082 |
| NPI Number | 1972170504 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972170504 | NPI | - | NPPES |
| 6103107 | Medicaid | NC |
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