NPI 1043547193

H.A.N.D.S.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Greensboro, NC

Practice location

Address: 1910 McKnight Mill Rd, Greensboro, NC 27405-3908
Phone: (336) 621-1921
Mailing address: 322 Craig St, Greensboro, NC 27406-2848

Authorised official

Name: Shavonica Dionne Stevenson
Title: Owner/Operator
Phone: (336) 255-5576

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-041-862 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1043547193
Entity type: Organization
NPI issued: 11 Nov 2009
Record last updated: 11 Nov 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.