Provider Demographics
NPI:1720483878
Name:BRITTON AND CRUMP INC
Entity Type:Organization
Organization Name:BRITTON AND CRUMP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DEENEKA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEACH-PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-217-0747
Mailing Address - Street 1:121 HUNT ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2411
Mailing Address - Country:US
Mailing Address - Phone:252-217-0747
Mailing Address - Fax:919-286-2107
Practice Address - Street 1:61 HICKORY HILL RD
Practice Address - Street 2:
Practice Address - City:VARNVILLE
Practice Address - State:SC
Practice Address - Zip Code:29944-5200
Practice Address - Country:US
Practice Address - Phone:803-914-0296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health