Organization
AR GREENSBORO OPERATOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JACOB (CEO)
(786) 307-3952
Entity
Organization
Contact information
Practice address
3200 N ELM ST, GREENSBORO, NC 27408-3853
(786) 307-3952
Mailing address
1000 PARK CENTRE BLVD STE 134, MIAMI, FL 33169-5373
(786) 307-3952
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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