Organization
A PLUS WILLIAMSON CARE NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONACA MAYE WILLIAMSON QDDP (EXECUTIVE DIRECTOR)
(336) 558-3749
Entity
Organization
Contact information
Practice address
1515 W CORNWALLIS DR STE G105, GREENSBORO, NC 27408-6334
(336) 558-3749
(336) 272-1273
Mailing address
PO BOX 16184, GREENSBORO, NC 27416-0184
(336) 558-3749
(336) 272-1273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408480
—
NC
Enumeration date
06/20/2007
Last updated
03/26/2013
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