NPI 1083919518

Blackwell House INC.

Organisation Mental Illness Community Based Residential Treatment Facility Greensboro, NC

Practice location

Address: 2805 N Ohenry Blvd, Greensboro, NC 27405-4631
Phone: (336) 375-3121

Authorised official

Name: Latonya Faye Tinnin
Title: Qualified Professional/ Director
Phone: (336) 350-5492

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 041-997 (NC)

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

Registry record

NPI: 1083919518
Entity type: Organization
NPI issued: 13 Jan 2011
Record last updated: 13 Jan 2011

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.