Organization
NORTH BEECH STREET GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTIE DAVIS (OWNER/DIRECTOR)
(336) 275-0627
Entity
Organization
Contact information
Practice address
502 BEECH ST, GREENSBORO, NC 27401-3115
(336) 275-0627
Mailing address
502 BEECH ST, GREENSBORO, NC 27401-3115
(336) 275-0627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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