Organization
FREEDME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATORA JASMINE GREGORY (OWNER)
(336) 587-9260
Entity
Organization
Contact information
Practice address
4324 CREEKDALE DR, GREENSBORO, NC 27406-8258
(336) 587-9260
Mailing address
4324 CREEKDALE DR, GREENSBORO, NC 27406-8258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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