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Organization

CAROLINA COMMUNITY CONSULTANTS, PLLC

Active
Other names
Kenneth J. Headen, MD
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. IMANI ARTHUR MSW, MPA (COO)
(919) 824-1299
Entity
Organization

Contact information

Practice address
2627 GRIMSLEY ST, GREENSBORO, NC 27403-3135
(335) 437-2354
(336) 279-1226
Mailing address
4992 WINDING RIDGE DR, GREENSBORO, NC 27406-3158
(919) 824-1299
(844) 984-3614

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
03/16/2021
Last updated
03/16/2021
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