Organization · Type 2 NPI

Kenneth J Headen MD PA

Community/Behavioral Health Agency · Greensboro, NC

NPI number 1780935395 Active

Practice location

806 Summit Ave, 210A
Greensboro, NC 27405-7861

Call (336) 279-1227 Map

Fax (336) 279-1226

Mailing address

806 Summit Ave Ste 210A
Greensboro, NC 27405-7861

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X9400266 (NC)

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 1780935395

Kenneth J Headen MD PA's National Provider Identifier is 1780935395, issued on Sep 21, 2012. 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 Sep 21, 2012.