| Therapeutic Behavioral Services | |
|
1527 Earl Dr Greensboro NC 27406-4807 | |
| (336) 299-0754 | |
| (336) 299-0755 |
| Full Name | Therapeutic Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1527 Earl Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Wanda Knight (EXECUTIVE OFFICER) |
| Authorized Official Contact | 3362990754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Behavioral Services Po Box 77165 Greensboro NC 27417-7165 Ph: (336) 299-0754 | Therapeutic Behavioral Services 1527 Earl Dr Greensboro NC 27406-4807 Ph: (336) 299-0754 |
| NPI Number | 1013037977 |
|---|---|
| Provider Enumeration Date | 04/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013037977 | NPI | - | NPPES |
| 8301297G | Medicaid | NC | |
| 3408445 | Medicaid | NC | |
| 8301297B | Medicaid | NC | |
| 8301297J | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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