Organization
CENTER FOR FAMILY AND INDIVIDUAL GROWTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL THOMAS GARNER LCSW (PRESIDENT/PROVIDER)
(336) 786-7199
Entity
Organization
Contact information
Practice address
865 W LAKE DR, MOUNT AIRY, NC 27030-2157
(336) 786-7199
(336) 719-2313
Mailing address
865 W LAKE DR, MOUNT AIRY, NC 27030-2157
(336) 786-7199
(336) 719-2313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174Y
BLUE CROSS BLUE SHIELD
NC
01
—
2031578
CIGNA
NC
01
—
308914
MAGELLAN
NC
01
—
460508
VALUE OPTIONS
NC
05
—
6002453
—
NC
01
—
6223730
UNITED HEALTH CARE
NC
01
—
B5140
MEDCOST
NC
Enumeration date
08/23/2010
Last updated
08/23/2010
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