NPI 1053117135
Ar Greensboro Operator
Practice location
- Address
- 3200 N Elm St, Greensboro, NC 27408-3853
- Phone
- (786) 307-3952
- Mailing address
- 1000 Park Centre Blvd STE 134, Miami, FL 33169-5373
Authorised official
- Name
- Daniel Jacob
- Title
- Ceo
- Phone
- (786) 307-3952
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1053117135
- Entity type
- Organization
- NPI issued
- 20 Feb 2025
- Record last updated
- 20 Feb 2025
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.