Organization
THERAPEUTIC BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA GAIL KNIGHT QP (EXECUTIVE OFFICER)
(336) 299-0754
Entity
Organization
Contact information
Practice address
2519 CEZANNE DR, GREENSBORO, NC 27407-5905
(336) 299-0754
Mailing address
PO BOX 77165, GREENSBORO, NC 27417-7165
(336) 299-0754
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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