Healthcare Provider Details

I. General information

NPI: 1164285516
Provider Name (Legal Business Name): ENO INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 BROAD ST
DURHAM NC
27705-3534
US

IV. Provider business mailing address

4030 FORRESTDALE DR
DURHAM NC
27712-2914
US

V. Phone/Fax

Practice location:
  • Phone: 919-306-2263
  • Fax:
Mailing address:
  • Phone: 919-306-2263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY HUSTON BROOKS
Title or Position: OWNER
Credential: LCSW
Phone: 919-306-2263