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4501 Old Battleground Rd Greensboro NC 27410-9352 | |
| (910) 483-0324 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 4501 Old Battleground Rd, Greensboro, North Carolina |
| Authorized Official Name and Position | Avery B. Green (CEO) |
| Authorized Official Contact | 3367637287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 38338 Greensboro NC 27408-8338 Ph: (336) 763-7287 | 4501 Old Battleground Rd Greensboro NC 27410-9352 Ph: (910) 483-0324 |
| NPI Number | 1235401811 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235401811 | NPI | - | NPPES |
| 6008846 | Medicaid | NC |
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