Organization Name: | GUILFORD COUNTY COMMUNITY CONNECTIONS, INC. |
NPI Number: | 1043528433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COURTNEY C ALSTON WILSON (CEO/PRESIDENT) |
Mailing Address: | 808 W English Rd High Point |
State: | NC US |
Postal Code: | 272626818 |
Phone Number: | 3368826549 |
Fax Number: | 3368826550 |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |