Organization
E. T. COMMUNITY BEHAVIORAL SERVICES LLC
Active
Other names
E. T. COMMUNITY BEHAVIORAL SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN ACHILIKE BS,QP (DIRECTOR)
(336) 549-8734
Entity
Organization
Contact information
Practice address
5317 IAN DR, MC LEANSVILLE, NC 27301-8123
(336) 549-8734
(336) 291-3012
Mailing address
7 CORPORATE CENTER CT STE B, GREENSBORO, NC 27408-3839
(336) 549-8734
(336) 291-3012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417674573
NPI
NC
Enumeration date
10/10/2024
Last updated
12/17/2024
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