| NPI | 1467921684 |
|---|---|
| Doing Business As | FPCC DURHAM |
| Entity Type | Organization |
| Authorized Contact | RENAE LANETTE EADES Owner 910-264-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |