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Organization
THE BENAIAH GROUP
Active
Organization
THE BENAIAH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LOUIS PRAYLOR (CEO)
(336) 471-8987
Entity
Organization
Contact information
Practice address
2207 E CONE BLVD, GREENSBORO, NC 27405-4858
(336) 375-3900
Mailing address
2207 E CONE BLVD, GREENSBORO, NC 27405-4858
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
041973
NC
Other
Enumeration date
07/29/2010
Last updated
03/01/2012
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