| Sanctuary House | |
|
518 N Elm St Greensboro NC 27401-2018 | |
| (336) 275-7896 | |
| Not Available |
| Full Name | Sanctuary House |
|---|---|
| Speciality | Social Worker - Clinical |
| 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 |
|---|---|
| Sanctuary House Po Box 21141 Greensboro NC 27420-1141 Ph: () - | Sanctuary House 518 N Elm St Greensboro NC 27401-2018 Ph: (336) 275-7896 |
| NPI Number | 1598956872 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598956872 | NPI | - | NPPES |
| 8300937B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | MHL-0410632 (North Carolina) | Secondary |
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