| Anfo Child And Adult Services | |
|
3519 Fayetteville St Durham NC 27707-4714 | |
| (919) 806-2833 | |
| Not Available |
| Full Name | Anfo Child And Adult Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3519 Fayetteville St, Durham, North Carolina |
| Authorized Official Name and Position | Antonio Fozard (OWNER) |
| Authorized Official Contact | 9196976957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anfo Child And Adult Services 3519 Fayetteville St Durham NC 27707-4714 Ph: () - | Anfo Child And Adult Services 3519 Fayetteville St Durham NC 27707-4714 Ph: (919) 806-2833 |
| NPI Number | 1013140730 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 08/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013140730 | NPI | - | NPPES |
| NOT YET ISSUED | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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