Provider Demographics
NPI:1750538435
Name:REMOVING MOUNTAINS COMMUNITY ENRICHMENT PROGRAM, INC.
Entity type:Organization
Organization Name:REMOVING MOUNTAINS COMMUNITY ENRICHMENT PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:STANFORD
Authorized Official - Last Name:PETTIFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-493-7600
Mailing Address - Street 1:PO BOX 947
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27702-0947
Mailing Address - Country:US
Mailing Address - Phone:919-493-7600
Mailing Address - Fax:919-493-4477
Practice Address - Street 1:3925 N DUKE ST
Practice Address - Street 2:SUITE # 124
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1780
Practice Address - Country:US
Practice Address - Phone:919-493-7600
Practice Address - Fax:919-493-4477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health