Organization · Type 2 NPI
Crystal E. Nickerson
Community/Behavioral Health Agency · Greensboro, NC
Practice location
2302 W. Meadowview Road Suite 228
Greensboro, NC 27407-6012
Fax (336) 854-0279
Mailing address
2302 W. Meadowview Road Suite 228; Box 24
Greensboro, NC 27407-6012
Other practice locations
- 3 Donlora Ct, Greensboro, NC 27407-6012 · (336) 508-8190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Day Training/Habilitation Specialist | 373H00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1770813016
Crystal E. Nickerson's National Provider Identifier is 1770813016, issued on Jan 8, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Greensboro, NC. The record was last updated on Aug 1, 2019.