| Visions Of North Carolina, Inc. | |
|
122 N Elm St Ste 505 Greensboro NC 27401-2875 | |
| (336) 275-1125 | |
| (336) 275-1126 |
| Full Name | Visions Of North Carolina, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 122 N Elm St Ste 505, Greensboro, North Carolina |
| Authorized Official Name and Position | Herbert Lee Mozell (EXEC./QM DIRECTOR) |
| Authorized Official Contact | 3365491796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visions Of North Carolina, Inc. 7607a Alcorn Rd Greensboro NC 27409-9781 Ph: (336) 931-0432 | Visions Of North Carolina, Inc. 122 N Elm St Ste 505 Greensboro NC 27401-2875 Ph: (336) 275-1125 |
| NPI Number | 1487909636 |
|---|---|
| Provider Enumeration Date | 07/13/2012 |
| Last Update Date | 07/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487909636 | NPI | - | NPPES |
| 3410155 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-041-1048 (North Carolina) | Primary |
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