Organization
CLASSIC CARE FAMILY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA R RATLIFF (DIRECTOR)
(336) 601-3298
Entity
Organization
Contact information
Practice address
1118 GRECADE ST, GREENSBORO, NC 27408-8710
(336) 601-3298
Mailing address
PO BOX 78026, GREENSBORO, NC 27427-8026
(336) 601-3298
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MKL041647
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604068
—
NC
Enumeration date
02/06/2007
Last updated
05/09/2012
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