NPI 1003012758

G & D Residential Services, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Greensboro, NC

Practice location

Address: 620 Guilford College Rd STE G, Greensboro, NC 27409-2027
Phone: (336) 254-6770
Fax: (336) 292-1589

Authorised official

Name: Geovon Kenane Martin
Title: Ceo Director
Phone: (336) 254-6770

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence MHL-041-764 (NC)

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1003012758
Entity type: Organization
NPI issued: 21 Jun 2007
Record last updated: 1 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.