| |
401 N. Eugene St. Greensboro NC 27401-2116 | |
(336) 641-4981 | |
(336) 641-7761 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 401 N. Eugene St., Greensboro, North Carolina |
Authorized Official Name and Position | Glenna Harford (AGENCY BUSINESS MANAGER) |
Authorized Official Contact | 3366416920 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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404 N. Eugene St. Greensboro NC 27401-2116 Ph: (336) 641-4981 | 401 N. Eugene St. Greensboro NC 27401-2116 Ph: (336) 641-4981 |
NPI Number | 1982642088 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 06/23/2010 |
Identifier | Type | State | Issuer |
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1982642088 | NPI | - | NPPES |
3404919 | Medicaid | NC |
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