NPI 1083745756

Black & Associates Global INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Greensboro, NC

Practice location

Address: 408 Andrew St, Greensboro, NC 27406-1515
Phone: (336) 271-2004
Fax: (336) 454-0191
Mailing address: 102 Burrows Rd, Jamestown, NC 27282-8400

Authorised official

Name: Ellen Rogers Black
Title: Administrator
Phone: (336) 987-0572

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence MHL 041-781 (NC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1083745756
Entity type: Organization
NPI issued: 7 Mar 2007
Record last updated: 7 Jul 2008

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.