Organization
HAIRSTON AND REYNOLDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON HAIRSTON (DIRECTOR)
(336) 988-0679
Entity
Organization
Contact information
Practice address
2 WOODLEA RIDGE CT, GREENSBORO, NC 27406-5253
(336) 455-7186
Mailing address
2 WOODLEA RIDGE CT, GREENSBORO, NC 27406-5253
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
241829
NC
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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