Organization
MINDFUL CREATIVE CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRINCES ANDRETA CARTER (OWNER)
(336) 825-2603
Entity
Organization
Contact information
Practice address
5201 FOX HUNT DR APT G, GREENSBORO, NC 27407-6353
(336) 825-2603
Mailing address
5201 FOX HUNT DR APT G, GREENSBORO, NC 27407-6353
(336) 825-2603
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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