Organization · NPI-2
1eleven LLC
Community/Behavioral Health · Greensboro, NC
NPI number1114874104
StatusActive
Last updated in NPPESMar 11, 2026
Details
- NPI
- 1114874104
- Entity type
- Organization (NPI-2)
- Legal business name
- 1eleven LLC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2026
- Certification date
- Mar 11, 2026
- Last updated
- Mar 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
2301 N Church StGreensboro, NC 27405-4309
Phone 800-784-6845 · Fax 781-394-2662
Mailing address
2301 N Church StGreensboro, NC 27405-4309
Phone 800-784-6845 · Fax 781-394-2662
Authorized official
Sam David Steele
Director Of Billing
7813663953
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