Organization
EXCEPTIONAL FAMILY SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLIE ANN LOWERY (OWNER)
(336) 362-9144
Entity
Organization
Contact information
Practice address
7325 W FRIENDLY AVE STE F, GREENSBORO, NC 27410-6211
(336) 285-6173
(336) 740-9171
Mailing address
7325 W FRIENDLY AVE STE F, GREENSBORO, NC 27410-6211
(336) 285-6173
(336) 740-9171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418543
—
NC
Enumeration date
02/18/2008
Last updated
02/15/2019
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