# ZENITH PROVIDERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013148519
- **Authorized official:** MS. VICKIE LIGHTNER HENRY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 272-8000

## Contact information

- **Practice address:** 7 KELLEY CT, GREENSBORO, NC 27401-4679
- **Practice address phone:** (336) 272-8000
- **Practice address fax:** (336) 855-7936
- **Mailing address:** 3802 BROADACRES DR, GREENSBORO, NC 27407-6502
- **Mailing address phone:** (336) 855-7936
- **Mailing address fax:** (336) 855-7936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-920 | NC | Yes |

## Other

- **Enumeration date:** 07/31/2009
- **Last updated:** 07/31/2009