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8 NEW BEGINNING WITH KAYANDA, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OCTAVE KAYANDA (CEO)
33650021741
Entity
Organization

Contact information

Practice address
1919-A BOULEVARD STREET, GREENSBORO, NC 27407
(336) 295-1830
(336) 459-3713
Mailing address
1919-A BOULEVARD STREET, GREENSBORO, NC 27407
(336) 295-1830
(336) 459-3713

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL0411058
NC

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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