Provider Demographics
NPI:1508005547
Name:BEHAVIORAL HEALTH AND WELLNESS CARE SERVICES, INC.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH AND WELLNESS CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:WITHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-292-4604
Mailing Address - Street 1:3721 W MARKET ST STE C
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1374
Mailing Address - Country:US
Mailing Address - Phone:336-292-4604
Mailing Address - Fax:336-292-4694
Practice Address - Street 1:2000 S GLENBURNIE RD STE 5D
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5227
Practice Address - Country:US
Practice Address - Phone:336-292-4604
Practice Address - Fax:336-292-4694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health