OrganizationActive
Boys to Gentlemen
NPI 1811065865 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Durham, NC
Provider details
- NPI number
- 1811065865
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Lorrain Meadows, Owner
- License
- MHL 032-290 (NC)
Practice location
202 Clayton Rd
Durham, NC 27703-3508
Phone: (919) 957-1191
Fax: (919) 598-5166
Mailing address
202 Clayton Rd
Durham, NC 27703-3508
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2007-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.