Organization
CENTRAL STATE OF THE CAROLINAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA A MELOY (EXEC. DIRECTOR)
(336) 370-1691
Entity
Organization
Contact information
Practice address
122 N ELM ST, SUITE 800, GREENSBORO, NC 27401-2878
(336) 370-1691
(336) 370-4758
Mailing address
122 N ELM ST, SUITE 800, GREENSBORO, NC 27401-2878
(336) 370-1691
(336) 370-4758
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804928
—
NC
Enumeration date
06/21/2007
Last updated
09/13/2007
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