Organization
MINDFUL THERAPEUTIC COMMUNITY SUPPORT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL MONTAGUE DNP, FNP-C, PMHNP-BC (ORGANIZATIONAL DIRECTOR/QP)
(336) 905-8011
Entity
Organization
Contact information
Practice address
1981 EASTCHESTER DRIVE, STE B, HIGH POINT, NC 27265
(336) 905-8011
(336) 905-8097
Mailing address
1981 EASTCHESTER DRIVE, HIGH POINT, NC 27265
(336) 905-8011
(336) 905-8097
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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