# CLEGAIL PROFESSIONAL SERVICES LLC

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

## Provider details

- **NPI number:** 1578992962
- **Authorized official:** MR. CLEMENT SOWA (MEMBER)
- **Authorized official phone:** (336) 825-7223

## Contact information

- **Practice address:** 711 ASKEW ST, BURLINGTON, NC 27215-2201
- **Practice address phone:** (336) 825-7223
- **Mailing address:** 5635 HORNADAY RD, UNIT D, GREENSBORO, NC 27409-2941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/05/2013