person
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.

Location: 2509 Rolling Pines Ave, Durham, NC, 27703-5933
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
State
Zip
27703-5933
Phone Number
919-598-6416
Fax Number
person
Provider Business Mailing Address Details
Address
2509 Rolling Pines Ave
City
State
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
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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