Organization
CAROLINA CHILD PSYCHIATRIC SERVICES, PA
Active
Other names
New Garden Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
JANARDHANA JONNALAGADDA MD (OWNER)
(336) 541-8111
Entity
Organization
Contact information
Practice address
2016 NEW GARDEN RD STE C, GREENSBORO, NC 27410-2502
(336) 541-8111
(855) 427-6593
Mailing address
2016 NEW GARDEN RD STE C, GREENSBORO, NC 27410-2502
(336) 541-8111
(855) 427-6593
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2005-01663
NC
Other
Enumeration date
07/14/2015
Last updated
09/10/2015
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