Organization
HLEE PROGRAMS
Active
Organization
HLEE PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROUGHTON LEEVANUAL MILES (BOARD MEMBER)
(336) 634-0964
Entity
Organization
Contact information
Practice address
1010 LOMBARDY ST, GREENSBORO, NC 27405-6016
(336) 634-0964
Mailing address
PO BOX 393, REIDSVILLE, NC 27323-0393
(336) 634-0964
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up