Organization
CARE AND EMPOWERMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYCIA LEDWELL SHAW MSQP (CEO)
(336) 907-5003
Entity
Organization
Contact information
Practice address
1025 HOMELAND AVE, SUITE 6, GREENSBORO, NC 27405-7003
(336) 907-5003
Mailing address
4108 FALCONRIDGE RD, GREENSBORO, NC 27405-5414
(336) 907-5003
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302749S
—
NC
Enumeration date
11/22/2011
Last updated
11/22/2011
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