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Organization

GUILFORD BEHAVIORAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL LEE SANDER PHD, LPC (SOLE/MANAGING MEMBER)
(336) 404-9286
Entity
Organization

Contact information

Practice address
307 S CHAPMAN ST, GREENSBORO, NC 27403-1613
(336) 404-9286
Mailing address
307 S CHAPMAN ST, GREENSBORO, NC 27403-1613
(336) 404-9286

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC10773
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528122769
NC
Enumeration date
02/04/2016
Last updated
02/04/2016
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