Provider Demographics
NPI:1710932538
Name:SECURING RESOURCES FOR CONSUME
Entity Type:Organization
Organization Name:SECURING RESOURCES FOR CONSUME
Other - Org Name:SRFC INC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-405-2700
Mailing Address - Street 1:3711 UNIVERSITY DR
Mailing Address - Street 2:STE C
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2654
Mailing Address - Country:US
Mailing Address - Phone:919-405-2700
Mailing Address - Fax:919-405-2740
Practice Address - Street 1:3711 UNIVERSITY DR
Practice Address - Street 2:STE C
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2654
Practice Address - Country:US
Practice Address - Phone:919-405-2700
Practice Address - Fax:919-405-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC003801104100000X
NCC0054991041C0700X
NCC0008541041C0700X
NCC0067871041C0700X
NCC0020431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005920Medicaid