Organization
FAMILY WELLNESS AND CLINICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENIKA WALKER (MANAGER)
(336) 209-9809
Entity
Organization
Contact information
Practice address
4215 RIVER BIRCH LOOP APT 2G, GREENSBORO, NC 27409-8042
(336) 209-9809
Mailing address
PO BOX 1624, JAMESTOWN, NC 27282-1624
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
8498
NC
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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