Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Place, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1558411942

Providence Place, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

916 Clayton Rd
Durham, NC 27703-2608
Phone: (919) 767-9037
Fax: (919) 768-1090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence MHL-032-422 (NC)

Record details

NPI number1558411942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Moses Olanrewaju — President · (919) 767-9037
NPI enumeratedJanuary 10, 2007
Last updated in NPPESFebruary 15, 2008
Mailing address156 Wolfsnare Ln, Morrisville, NC 27560-7061

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