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General NPI Number Information
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NPI Number | 1912147026
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Entity Type | Organization
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Legal Business Name | THE CHILDREN ARE WELL DAY TREATMENT CENTER
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 4925 W MARKET ST SUITE 1142
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City | GREENSBORO
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State | NC
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Zip | 27407-1544
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Country | US
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Telephone | 336-235-2854
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 ADAMS FARM PKWY BOX 236
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City | GREENSBORO
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State | NC
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Zip | 27407-5121
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Country | US
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Telephone | 336-235-2854
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Fax | 336-235-2854
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. SANDRA JONES
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Credential | QMHP
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Telephone | 336-235-2854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MHL-041-897
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License Number State | NC
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