Provider Demographics
NPI:1295935856
Name:UNIVERSAL-NATIONAL ORGANIZATION FOR WHOLISTIC EFFORTS FOR THE COMMUNIT
Entity type:Organization
Organization Name:UNIVERSAL-NATIONAL ORGANIZATION FOR WHOLISTIC EFFORTS FOR THE COMMUNIT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:BERNICE
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH,MDIV
Authorized Official - Phone:919-491-2974
Mailing Address - Street 1:1108 DAMES CT
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-7759
Mailing Address - Country:US
Mailing Address - Phone:919-491-2974
Mailing Address - Fax:
Practice Address - Street 1:1415 HOLLOWAY ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-2125
Practice Address - Country:US
Practice Address - Phone:919-688-7319
Practice Address - Fax:919-688-7320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management