Provider Demographics
NPI:1902030281
Name:CENTRE FOR A BETTER YOU
Entity Type:Organization
Organization Name:CENTRE FOR A BETTER YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:919-236-8618
Mailing Address - Street 1:3020 PICKETT RD
Mailing Address - Street 2:SUITE 323
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-6000
Mailing Address - Country:US
Mailing Address - Phone:919-236-8618
Mailing Address - Fax:
Practice Address - Street 1:3020 PICKETT RD
Practice Address - Street 2:SUITE 323
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-6000
Practice Address - Country:US
Practice Address - Phone:919-236-8618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management