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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