Provider Demographics
NPI:1245572387
Name:BETTER LIVING CONCEPTS OF DURHAM LLC
Entity Type:Organization
Organization Name:BETTER LIVING CONCEPTS OF DURHAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:O
Authorized Official - Last Name:NYABWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-477-5825
Mailing Address - Street 1:909 GARCIA AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1733
Mailing Address - Country:US
Mailing Address - Phone:919-477-5825
Mailing Address - Fax:919-477-6429
Practice Address - Street 1:909 GARCIA AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1733
Practice Address - Country:US
Practice Address - Phone:919-477-5825
Practice Address - Fax:919-477-6429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL 032-403320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities