Organization
BLANCHE GILDER COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN ORTIZ (PRESIDENT)
(919) 482-4472
Entity
Organization
Contact information
Practice address
4332 LAKE JEANETTE RD, GREENSBORO, NC 27455-1824
(919) 646-1899
Mailing address
4332 LAKE JEANETTE RD, GREENSBORO, NC 27455-1824
(919) 646-1899
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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