Organization
CENTER FOR FAMILY AND INDIVIDUAL GROWTH, PA
Active
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
Update your record
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