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620 Guilford College Rd Ste G Greensboro NC 27409-2292 | |
| (336) 553-9898 | |
| (336) 447-1955 |
| Full Name | |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 620 Guilford College Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Trishonda Patrick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3365539898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
620 Guilford College Rd Ste G Greensboro NC 27409-2292 Ph: (336) 553-9898 | 620 Guilford College Rd Ste G Greensboro NC 27409-2292 Ph: (336) 553-9898 |
| NPI Number | 1164675815 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 06/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164675815 | NPI | - | NPPES |
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