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Organization

KT WILLIAMS GROUP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SABRINA WILLIAMS (OWNER)
(336) 855-1946
Entity
Organization

Contact information

Practice address
6012 DAWN RIDGE TRL, GREENSBORO, NC 27410-8623
(336) 393-0343
Mailing address
4642 W. MARKET STREET, #251, GREENSBORO, NC 27407
(336) 855-1946

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-041-621
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603384
NC
Enumeration date
02/14/2007
Last updated
08/22/2020
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