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Organization
THERAPEUTIC BEHAVIORAL SERVICES
Active
Organization
THERAPEUTIC BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA KNIGHT (EXECUTIVE OFFICER)
(336) 299-0754
Entity
Organization
Contact information
Practice address
1527 EARL DR, GREENSBORO, NC 27406-4807
(336) 299-0754
(336) 299-0755
Mailing address
PO BOX 77165, GREENSBORO, NC 27417-7165
(336) 299-0754
(336) 299-0755
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408445
—
NC
Enumeration date
04/04/2007
Last updated
08/22/2020
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