Organization
WORTHINGTON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE RICHARDS (OWNER)
(336) 965-5922
Entity
Organization
Contact information
Practice address
1537 LOVETT ST, GREENSBORO, NC 27403-3340
(336) 965-5922
Mailing address
1537 LOVETT ST, GREENSBORO, NC 27403-3340
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3419197
—
NC
Enumeration date
08/17/2012
Last updated
08/17/2012
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