Organization
THE FAMILY LIFE CENTER OF ROCKINGHAM CO. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W. GROGAN JR. PHD (EXECUTIVE DIRECTOR)
(336) 342-3160
Entity
Organization
Contact information
Practice address
307 W MOREHEAD ST, REIDSVILLE, NC 27320-2521
(336) 342-6130
(336) 394-0039
Mailing address
PO BOX 941, REIDSVILLE, NC 27323-0941
(336) 342-3160
(336) 394-0039
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005823
—
NC
Enumeration date
11/07/2006
Last updated
08/22/2020
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