Organization
CAROLINA COMMUNITY BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE CROSBY (OWNER)
(704) 994-2555
Entity
Organization
Contact information
Practice address
2216 W MEADOWVIEW RD STE 109, GREENSBORO, NC 27407-3401
(704) 994-2555
Mailing address
2216 W MEADOWVIEW RD STE 109, GREENSBORO, NC 27407-3401
(704) 994-2555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821536699
—
NC
Enumeration date
02/01/2017
Last updated
02/18/2022
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