Organization
GLOBAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DE-MARCO ODOM (MANAGING MEMBER)
(336) 345-7123
Entity
Organization
Contact information
Practice address
715 HAYWOOD ST, WINSTON SALEM, NC 27105-6406
(336) 345-7123
Mailing address
715 HAYWOOD ST, WINSTON SALEM, NC 27105-6406
(336) 345-7123
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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