Organization
A DAY OF DISTINCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS RAYMOND WOODSON B.S. (QP)
(336) 317-9226
Entity
Organization
Contact information
Practice address
1106 E MARKET ST, GREENSBORO, NC 27401-3267
(336) 317-9226
Mailing address
1106 E MARKET ST, GREENSBORO, NC 27401-3267
(336) 317-9226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-041-1056
NC
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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