Organization
THE DOLLIN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE F. PICKENS (CEO)
(336) 681-0655
Entity
Organization
Contact information
Practice address
2300 SOABAR ST, BOX 16205, GREENSBORO, NC 27406-3650
(336) 681-0655
(336) 272-2387
Mailing address
2616 GLENHAVEN LN, WINSTON SALEM, NC 27106-2317
(336) 681-0655
(336) 272-2387
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-041-071
NC
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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