OrganizationActive
116 Crutchfield
NPI 1487070785 · Community/Behavioral Health Agency · Durham, NC
Provider details
- NPI number
- 1487070785
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Authorized official
- Edward Stockhausen, Owner/Manager
- License
- 1359048 (NC)
Practice location
116 Crutchfield St
Durham, NC 27704-2722
Phone: (919) 973-0262
Fax: (919) 973-0269
Mailing address
116 Crutchfield St
Durham, NC 27704-2722
Registry dates
- Enumerated
- 2014-03-11
- Last updated
- 2014-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.