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Deric J. Boston, Lcsw
Community/Behavioral Health Agency in Durham, North Carolina
NPI 1891959524

Deric J. Boston, Lcsw is a Community/Behavioral Health Agency based in Durham, NC. Deric J. Boston, Lcsw practices in Durham, NC. The NPI Number for Deric J. Boston, Lcsw is 1891959524 and holds a License No. C006078 (North Carolina).

The current practice location address for Deric J. Boston, Lcsw is 1058 W Club Blvd, Durham, NC and can be reached out via phone at 919-619-1032.

Location: 1058 W Club Blvd, Durham, NC, 27701-1104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891959524
Provider Name
Deric J. Boston, Lcsw
Credential
Provider Entity Type
Organization
Address
1058 W Club Blvd, Durham, NC, 27701-1104
Phone Number
919-619-1032
Fax Number
Provider Enumeration Date
07/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
610643 05 NC
institution
Provider Business Practice Location Address Details
Address
1058 W Club Blvd
City
Durham
State
North Carolina
Zip
27701-1104
Phone Number
919-619-1032
Fax Number
person
Provider Business Mailing Address Details
Address
1058 W Club Blvd
City
Durham
State
North Carolina
Zip
27701-1104
Phone Number
919-619-1032
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
C006078 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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