Sanctuary House | |
518 N Elm St Greensboro NC 27401-2018 | |
(336) 275-7896 | |
Not Available |
Full Name | Sanctuary House |
---|---|
Speciality | Community/behavioral Health |
Location | 518 N Elm St, Greensboro, North Carolina |
Authorized Official Name and Position | Jodi Lorenzo-schibley (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3362757896 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sanctuary House Po Box 21141 Greensboro NC 27420-1141 Ph: (336) 275-7896 | Sanctuary House 518 N Elm St Greensboro NC 27401-2018 Ph: (336) 275-7896 |
NPI Number | 1285811901 |
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Provider Enumeration Date | 01/24/2008 |
Last Update Date | 01/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285811901 | NPI | - | NPPES |
8300937 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL-0410632 (North Carolina) | Primary |
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