Provider Demographics
NPI:1982642088
Name:COUNTY OF GUILFORD
Entity Type:Organization
Organization Name:COUNTY OF GUILFORD
Other - Org Name:THE GUILFORD CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-641-6920
Mailing Address - Street 1:404 N. EUGENE ST.
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2116
Mailing Address - Country:US
Mailing Address - Phone:336-641-4981
Mailing Address - Fax:336-641-7761
Practice Address - Street 1:401 N. EUGENE ST.
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2116
Practice Address - Country:US
Practice Address - Phone:336-641-4981
Practice Address - Fax:336-641-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1261QM0801X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404919Medicaid