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Organization
SPECIAL K SERVICES INC.
Active
Organization
SPECIAL K SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE MCEACHIRN (CEO)
(336) 312-1316
Entity
Organization
Contact information
Practice address
825 NESTLEWAY DR, GREENSBORO, NC 27406-8237
(336) 275-4594
(336) 275-6825
Mailing address
825 NESTLEWAY DR, GREENSBORO, NC 27406-8237
(336) 275-4594
(336) 275-6825
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-041-770
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-041-770
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-770
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418239
—
NC
05
—
6604337
—
NC
05
—
8301614B
—
NC
05
—
8301614G
—
NC
05
—
8301614H
—
NC
Enumeration date
04/19/2010
Last updated
04/19/2010
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