U.P.L.I.F.T. Enrichment Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

24882 Issued in NC

Legal business name

U.P.L.I.F.T. ENRICHMENT CENTER, INC.

Practice address

5108 Revere Rd
Durham, NC 27713-2421

Phone

(919) 451-8530

Fax

(877) 487-3012

NPI assigned

Jun 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ayanah Daa'Iyah Muhammad, BS, QMHP

Title

Program Director

Phone

(919) 672-3405

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1053622266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 REVERE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132421",
            "telephone_number": "919-451-8530",
            "fax_number": "877-487-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 REVERE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132421",
            "telephone_number": "919-451-8530",
            "fax_number": "877-487-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.P.L.I.F.T. ENRICHMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "AYANAH",
        "authorized_official_middle_name": "DAA'IYAH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "919-672-3405",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "24882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.