Organization
THE MALACHI HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF LOVICK (EXECUTIVE DIRECTOR)
(336) 275-2500
Entity
Organization
Contact information
Practice address
507 BALBOA ST, GREENSBORO, NC 27405-6405
(336) 275-2500
(336) 275-4000
Mailing address
PO BOX 20803, GREENSBORO, NC 27420-0803
(336) 275-2500
(336) 275-4000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
MHL078232
NC
Other
Enumeration date
09/02/2009
Last updated
09/08/2009
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