Organization
CHILDRENS HOME SOCIETY OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E TUTTEROW (PRESIDENT)
(336) 274-1538
Entity
Organization
Contact information
Practice address
604 MEADOW ST, GREENSBORO, NC 27405-6600
(336) 274-1538
(336) 274-7347
Mailing address
PO BOX 14608, GREENSBORO, NC 27415-4608
(336) 274-1538
(336) 379-5835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
200501663
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909126
—
NC
Enumeration date
07/11/2007
Last updated
06/19/2008
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