Organization
NEXT GIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYLOU BANKS (CEO)
(336) 370-6213
Entity
Organization
Contact information
Practice address
3 CENTERVIEW DR STE 230, GREENSBORO, NC 27407-3716
(336) 370-6213
Mailing address
3 CENTERVIEW DR STE 230, GREENSBORO, NC 27407-3716
(336) 370-6213
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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