Organization · Type 2 NPI

Crystal E. Nickerson

Community/Behavioral Health Agency · Greensboro, NC

NPI number 1770813016 Active

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

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone 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.