Organization
GRIFFIN SUPERVISED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELIA WALL GRIFFIN (CO-OWNER)
(336) 412-5947
Entity
Organization
Contact information
Practice address
2 PARTNERSHIP CT, GREENSBORO, NC 27405-5200
(336) 412-5947
(336) 375-7179
Mailing address
2 PARTNERSHIP CT, GREENSBORO, NC 27405-5200
(336) 412-5947
(336) 375-7179
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-041-856
NC
Other
Enumeration date
08/09/2011
Last updated
08/03/2015
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