Organization · NPI-2
Carolina Community Behavioral Services LLC
Community/Behavioral Health · Greensboro, NC
NPI number1821536699
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1821536699
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Community Behavioral Services LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2017
- Certification date
- Feb 18, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
2216 W Meadowview Rd Ste 109Greensboro, NC 27407-3401
Phone 704-994-2555
Mailing address
2216 W Meadowview Rd Ste 109Greensboro, NC 27407-3401
Phone 704-994-2555
Other practice locations
2216 W Meadowview Rd Ste 111
Greensboro, NC 27407-3401
Greensboro, NC 27407-3401
Phone 336-763-2023
Authorized official
Kristine Crosby
Owner
7049942555
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