Organization · Type 2 NPI

Boys To Gentlemen

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Durham, NC

NPI number 1811065865 Active

Practice location

202 Clayton Rd
Durham, NC 27703-3508

Fax (919) 598-5166

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XMHL 032-290 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1811065865

Boys To Gentlemen's National Provider Identifier is 1811065865, issued on Nov 30, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Durham, NC. The record was last updated on Sep 27, 2007.