| Trauma And Addictions Center, Pllc | |
|
5603 B New Garden Village Dr Greensboro NC 27410-8595 | |
| (336) 272-8090 | |
| (336) 272-0094 |
| Full Name | Trauma And Addictions Center, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5603 B New Garden Village Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Katherine Howard Glenn (MEMBER AND ORGANIZER) |
| Authorized Official Contact | 3362728090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma And Addictions Center, Pllc 5603 B New Garden Village Dr Greensboro NC 27410-8595 Ph: (336) 272-8090 | Trauma And Addictions Center, Pllc 5603 B New Garden Village Dr Greensboro NC 27410-8595 Ph: (336) 272-8090 |
| NPI Number | 1568758324 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568758324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 650 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 704 (North Carolina) | Primary |
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