Organization
SPECIALIZED CHILDREN'S CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH BERNARD WHITMIRE QMHP (EXECUTIVE DIRECTOR)
(336) 574-0981
Entity
Organization
Contact information
Practice address
430 BATTLEGROUND AVE, GREENSBORO, NC 27401-2104
(336) 574-0981
(336) 574-0982
Mailing address
430 BATTLEGROUND AVE, GREENSBORO, NC 27401-2104
(336) 574-0981
(336) 574-0982
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-041-601
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-077-039
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-097-054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603163
—
NC
05
—
6603164
—
NC
05
—
6603644
—
NC
Enumeration date
08/04/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us