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Search › North Carolina › 101YA0400X

Charleston Hill

NPI 1376163105 · on the registry since 2020 · sole proprietor

Practice

Address
1915 Chapel Hill Rd
Durham, NC 27707
Phone
(919) 246-5664
Fax
(919) 321-0351
Organisation at this address
Youth Extensions Inc.
Second Chance Community Support Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina