Organization · Type 2 NPI

Modern Change PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Durham, NC

NPI number 1790311207 Active

Practice location

5720 Fayetteville Rd Ste 202
Durham, NC 27713-5333

Call (919) 576-0084 Map

Fax (919) 797-9922

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

3 other providers at this address

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About NPI 1790311207

Modern Change PLLC's National Provider Identifier is 1790311207, issued on Mar 16, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Durham, NC. The record was last updated on Apr 18, 2024.