Organization
GUILFORD COUNTY COMMUNITY CONNECTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY C ALSTON WILSON (CEO/PRESIDENT)
(704) 361-3003
Entity
Organization
Contact information
Practice address
808 W ENGLISH RD, HIGH POINT, NC 27262-6818
(336) 882-6549
(336) 882-6550
Mailing address
PO BOX 1026, HIGH POINT, NC 27261-1026
(336) 882-6549
(336) 882-6550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
C001771
NC
2084P0800X
Psychiatry Physician
110971
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302622
—
NC
Enumeration date
09/20/2010
Last updated
11/08/2010
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