| Upward Change Health Services | |
|
807 E Main St Ste 4105 Durham NC 27701-4076 | |
| (919) 422-3036 | |
| Not Available |
| Full Name | Upward Change Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 807 E Main St Ste 4105, Durham, North Carolina |
| Authorized Official Name and Position | Misty Alston (DIRECTOR) |
| Authorized Official Contact | 9194223036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upward Change Health Services 807 E Main St Ste 2120 Durham NC 27701-4099 Ph: (919) 422-3036 | Upward Change Health Services 807 E Main St Ste 4105 Durham NC 27701-4076 Ph: (919) 422-3036 |
| NPI Number | 1699197871 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699197871 | NPI | - | NPPES |
| 8303158S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-032-540 (North Carolina) | Primary |
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