| Greensboro Structured Day Tx | |
|
309 Concord St Ste 101&201 Greensboro NC 27406-3661 | |
| (336) 273-4687 | |
| (336) 333-2444 |
| Full Name | Greensboro Structured Day Tx |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 309 Concord St Ste 101&201, Greensboro, North Carolina |
| Authorized Official Name and Position | Catherine Harrison (CONTRACT MGR.) |
| Authorized Official Contact | 7043668712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greensboro Structured Day Tx 6220 Thermal Rd Charlotte NC 28211-5630 Ph: (704) 362-6759 | Greensboro Structured Day Tx 309 Concord St Ste 101&201 Greensboro NC 27406-3661 Ph: (336) 273-4687 |
| NPI Number | 1316507551 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316507551 | NPI | - | NPPES |
| MHL-041-793 | Other | NC | NC DHSR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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