Provider Demographics
NPI:1891878518
Name:POSITIVE CARE
Entity Type:Organization
Organization Name:POSITIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALIFIED PROFESSIONAL
Authorized Official - Prefix:MR
Authorized Official - First Name:MARZELL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MS
Authorized Official - Phone:336-686-8582
Mailing Address - Street 1:2200 SHARPE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-8503
Mailing Address - Country:US
Mailing Address - Phone:336-697-8700
Mailing Address - Fax:336-697-8705
Practice Address - Street 1:2200 SHARPE RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8503
Practice Address - Country:US
Practice Address - Phone:336-697-8700
Practice Address - Fax:336-697-8705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-765320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities