Organization
FOUR OAKS CARE SERVICES LLC
Active
Other names
Four Oaks Care Services llc
Organization subpart
No
Provider details
NPI number
Authorized official
UCHENNA JUNIOR RICHARDS OWNER (OWNER)
(336) 209-5459
Entity
Organization
Contact information
Practice address
301 W J J DR STE D, GREENSBORO, NC 27406-4445
(336) 763-5030
(877) 895-1090
Mailing address
611 SUMMIT AVE STE 15, GREENSBORO, NC 27405-7746
(336) 478-7444
(877) 895-1090
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/29/2021
Last updated
07/27/2022
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