Organization
CENTRAL STATE OF THE CAROLINAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA ANNE MELOY (EXECUTIVE DIRECTOR)
(336) 370-1691
Entity
Organization
Contact information
Practice address
1528 S. MEBANE ST. APT 1405N, BURLINGTON, NC 27215
(336) 343-4080
(336) 343-4083
Mailing address
122 N. ELM ST. #810, GREENSBORO, NC 27401
(336) 370-1691
(336) 370-4857
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
3408685
NC
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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