Organization Active NPI

The Exchange Clubs Child Abuse Prevention Center in Durham, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1679773824
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE EXCHANGE CLUBS CHILD ABUSE PREVENTION CENTER IN DURHAM, INC.
Practice address
3400 Croasdaile Dr.
Suite 206
Durham, NC 27705
Phone
(919) 403-8249
Fax
(919) 493-5725
NPI assigned
Jul 24, 2007
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Ms. Cynia Black, LCSWNPI 1992379473
Title
Program Manager
Phone
(919) 321-0084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3400 Croasdaile Dr.
Suite 206
Durham, NC 27705

Mailing address

3400 Croasdaile Dr.
Suite 208
Durham, NC 27705
Phone (919) 403-8249

Other identifiers 1

IdentifierTypeStateIssuer
6005760MedicaidNC

Other names 1

  • Prevention Center in Durham, Inc. Other name

National Provider Directory

National Provider Directory

Locations

3400 Croasdaile Dr
Ste 208
Durham, NC 27705

3708 Lyckan Pkwy
Ste 103
Durham, NC 27707
Phone (919) 403-2200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1679773824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR.",
            "address_2": "SUITE 208",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-403-8249",
            "fax_number": "919-493-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR.",
            "address_2": "SUITE 206",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "919-403-8249",
            "fax_number": "919-493-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXCHANGE CLUBS CHILD ABUSE PREVENTION CENTER IN DURHAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CYNIA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "919-321-0084",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005760",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prevention Center in Durham, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.