Organization
CAMERON COURT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TEBONY CAMISHA VINCENT (OWNER/PARTNER)
(336) 273-0489
Entity
Organization
Contact information
Practice address
1002 JULIAN ST, GREENSBORO, NC 27406-2153
(336) 273-0489
(336) 271-2906
Mailing address
4642 W MARKET ST, SUITE 203, GREENSBORO, NC 27407-1285
(336) 273-0489
(336) 271-2906
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL041830
NC
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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