ANFO CHILDREN AND ADULT SERVICES (NPI# 1164667036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164667036 |
| Entity Type | Organization |
| Organization Name | ANFO CHILDREN AND ADULT SERVICES |
| Practice Address |
3604 Witherspoon Blvd Suite 111, Pmb 233 Durham NC 27707-6850 |
| Mailing Address |
2514 N Roxboro St Durham NC 27704-4348 |
| Practice Telephone | 9195198040 |
| Mailing Telephone | 9195198040 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |
| Authorized Official Name | MS. CHANTA L PAGE (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Telephone | 9195198040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MHL032460 | NC | Residential Treatment Facilities |
| Street Address |
3604 WITHERSPOON BLVD SUITE 111, PMB 233 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821496779 | Eye Mart Express LLC | Eyewear Supplier (Equipment, not the service) | 3604 Witherspoon Blvd, Suite 107, Durham, NC 27707-6850 | 2014-12-09 |
| 1730590993 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 3604 Witherspoon Blvd, Space #103, Durham, NC 27707-6850 | 2014-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093253478 | Tree of Life Transportation | Community Based Residential Treatment Facility, Mental Illness | 5067 Rainmaker Dr, Durham, NC 27704-2299 | 2017-02-06 |
| 1538421821 | Seven Oaks Family Care Home Inc | Community Based Residential Treatment Facility, Mental Illness | 234 Seven Oaks Rd, Durham, NC 27704-1125 | 2012-06-12 |
| 1942445903 | Universal Care and Development | Community Based Residential Treatment Facility, Mental Illness | 910 Belvin Ave, Durham, NC 27704-3332 | 2008-12-04 |
| 1154589208 | The Mental Health Association In Nc, Inc | Community Based Residential Treatment Facility, Mental Illness | 708 Raynor St, Apt A-1, Durham, NC 27703-2239 | 2008-05-27 |
| 1922273960 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 409 Ebon Rd, Durham, NC 27713-1621 | 2008-04-29 |
| 1114192259 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 1524 Southwood Dr, Durham, NC 27707-2114 | 2008-04-29 |
| 1225207491 | Resources for Human Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 947 Clarion Dr, Durham, NC 27705-1730 | 2008-02-21 |
| 1508049107 | Removing Mountains | Community Based Residential Treatment Facility, Mental Illness | 1115 Chalk Level Road, Durham, NC 27704-1527 | 2007-12-06 |
| 1164611760 | New Horizon | Community Based Residential Treatment Facility, Mental Illness | 801 Lorain Ave, Durham, NC 27704-3023 | 2007-10-18 |
| 1730377789 | Break Out LLC | Community Based Residential Treatment Facility, Mental Illness | 412 Pineland Ave, Durham, NC 27704-2911 | 2007-10-03 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.