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Carol Adrienne Johnson
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, North Carolina
NPI 1366564890

Carol Adrienne Johnson is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Durham, NC. Carol Adrienne Johnson practices in Durham, NC. The NPI Number for Carol Adrienne Johnson is 1366564890 and holds a License No. 032317 (North Carolina).

The current practice location address for Carol Adrienne Johnson is 2509 Rolling Pines Ave, Durham, NC and can be reached out via phone at 919-598-6416. You can also correspond with Carol Adrienne Johnson through the mailing address at 2509 ROLLING PINES AVE, DURHAM, NC - 27703-5933 (mailing address contact number: 919-598-6416).

Location: 2509 Rolling Pines Ave, Durham, NC, 27703-5933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366564890
Provider Name
Carol Adrienne Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2509 Rolling Pines Ave, Durham, NC, 27703-5933
Phone Number
919-598-6416
Fax Number
Provider Enumeration Date
04/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2509 Rolling Pines Ave
City
Durham
State
North Carolina
Zip
27703-5933
Phone Number
919-598-6416
Fax Number
person
Provider Business Mailing Address Details
Address
2509 Rolling Pines Ave
City
Durham
State
North Carolina
Zip
27703-5933
Phone Number
919-598-6416
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
032317 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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