Organization
SET UP MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA DIANNE WALKER AAS, BSW, MA (EXECUTIVE DIRECTOR)
(336) 346-9690
Entity
Organization
Contact information
Practice address
122 N ELM ST, SUITE M-16 (216), GREENSBORO, NC 27401-2878
(336) 346-9690
Mailing address
122 N ELM ST, SUITE M-16 (216), GREENSBORO, NC 27401-2878
(336) 346-9690
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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