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Stick & Stay Prevention, INC

Community/Behavioral Health in Durham, NC. Organization (NPI-2).

NPI number1548906506
StatusActive
Last updated in NPPESJun 22, 2022

Details

NPI
1548906506
Entity type
Organization (NPI-2)
Legal business name
Stick & Stay Prevention, INC
Organization subpart
No
Enumeration date
May 11, 2022
Certification date
Jun 22, 2022
Last updated
Jun 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
172V00000X Community Health Worker––
175T00000X Peer Specialist––
251B00000X Case Management––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

1812 Liberty St
Durham, NC 27703-2271

Phone 919-384-5758

Mailing address

1812 Liberty St
Durham, NC 27703-2271

Phone 919-384-5758

Authorized official

Sandra Denise Lassiter
Director
9193845758

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