Organization
CENTRAL STATE OF THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE A. HATFIELD (EXEC. FINANCE OFFICER)
(989) 631-5754
Entity
Organization
Contact information
Practice address
122 N. ELM ST., SUITE 810, GREENSBORO, NC 27401
(336) 370-1691
(336) 370-4857
Mailing address
2603 W. WACKERLY ST., SUITE 201, MIDLAND, MI 48640
(989) 631-5754
(989) 631-2119
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408685
—
NC
Enumeration date
04/10/2006
Last updated
02/02/2011
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