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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY CARTER LCSW (IIH TEAM LEAD)
(336) 285-9031
Entity
Organization

Contact information

Practice address
2300 W MEADOWVIEW RD, GREENSBORO, NC 27407-3720
(336) 285-9031
Mailing address
2300 W MEADOWVIEW RD, GREENSBORO, NC 27407-3720
(336) 285-9031

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C008103
NC

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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