| Creative Management Source, Inc. | |
|
3407 W Wendover Ave Suite G Greensboro NC 27407-1581 | |
| (336) 292-5478 | |
| (336) 617-5948 |
| Full Name | Creative Management Source, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3407 W Wendover Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Erika Helene Hendrix (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3362925478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Management Source, Inc. Po Box 16851 Greensboro NC 27416-0851 Ph: (336) 292-5478 | Creative Management Source, Inc. 3407 W Wendover Ave Suite G Greensboro NC 27407-1581 Ph: (336) 292-5478 |
| NPI Number | 1356777379 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 06/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356777379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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