Organization
CHILDREN'S PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSITA SHARVON HARRIS QP,BS (DIRECTOR)
(336) 697-0709
Entity
Organization
Contact information
Practice address
1802 BELLWICK DR, GREENSBORO, NC 27406-8572
(336) 697-0709
(336) 697-7161
Mailing address
PO BOX 18626, GREENSBORO, NC 27419-8626
(336) 697-0709
(336) 697-7161
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
041-891
NC
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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