Childrens Home Society Of Nc | |
604 Meadow St Greensboro NC 27405-6600 | |
(336) 274-1538 | |
(336) 274-7347 |
Full Name | Childrens Home Society Of Nc |
---|---|
Speciality | Counselor - Mental Health |
Location | 604 Meadow St, Greensboro, North Carolina |
Authorized Official Name and Position | Kenneth E Tutterow (PRESIDENT) |
Authorized Official Contact | 3362741538 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Childrens Home Society Of Nc Po Box 14608 Greensboro NC 27415-4608 Ph: (336) 274-1538 | Childrens Home Society Of Nc 604 Meadow St Greensboro NC 27405-6600 Ph: (336) 274-1538 |
NPI Number | 1255539235 |
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Provider Enumeration Date | 07/11/2007 |
Last Update Date | 06/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255539235 | NPI | - | NPPES |
5909126 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | 200501663 (North Carolina) | Secondary |
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