| Organization Name: | WELLSPRINGS CENTER OF GOLDSBORO,P.A. |
| NPI Number: | 1023096088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMARA TYNDALL JARMAN (OWNER) |
| Mailing Address: | 2719 Graves Dr Suite 7 Goldsboro |
| State: | NC US |
| Postal Code: | 275344536 |
| Phone Number: | 9195838448 |
| Fax Number: | 9195838449 |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 06/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |