Healthcare Provider Details

I. General information

NPI: 1992148209
Provider Name (Legal Business Name): TOWER OF BLESSING A REFUGE TO SEEK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 ELLINGTON ST
DURHAM NC
27704-5213
US

IV. Provider business mailing address

2309 ELLINGTON ST
DURHAM NC
27704-5213
US

V. Phone/Fax

Practice location:
  • Phone: 919-680-6360
  • Fax: 919-596-7391
Mailing address:
  • Phone: 919-680-6360
  • Fax: 919-596-7391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number032129
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: RACHEL FORBES
Title or Position: OWNER
Credential:
Phone: 919-680-6360