Organization
KELLIN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY GRAVES (PRESIDENT AND CEO)
(336) 429-5600
Entity
Organization
Contact information
Practice address
4010 WALKER AVE, GREENSBORO, NC 27403-1918
(336) 429-5600
Mailing address
4010 WALKER AVE, GREENSBORO, NC 27403-1918
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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