FULL POTENTIAL LIFE LLC

DURHAM, NC
NPI1568692127
Entity TypeOrganization
Authorized ContactLOGAN GRADDY
Psychiatrist
919-321-6171
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2009-07-16
Last Update Date2009-07-16
Business Address
FULL POTENTIAL LIFE LLC
1530 N GREGSON ST SUITE 3-D
DURHAM, NC 27701-1155
Phone number: 919-321-6171
Mailing Address
FULL POTENTIAL LIFE LLC
1530 N GREGSON ST SUITE 3-D
DURHAM, NC 27701-1155
Phone number: 919-321-6171
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