Organization
CLASSIC CARE FAMILY SERVICES II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA ROCHELLE RATLIFF (DIRECTOR)
(336) 601-3298
Entity
Organization
Contact information
Practice address
2 CENTERVIEW DR., GREENSBORO, NC 27407-6075
(336) 375-0333
Mailing address
2107 TEALWOOD DR, GREENSBORO, NC 27407-6075
(336) 601-3298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408077
—
NC
Enumeration date
10/31/2007
Last updated
05/05/2015
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