Organization · Type 2 NPI

Tyra Davenport LLC

Community/Behavioral Health Agency · Greensboro, NC

NPI number 1932474764 Active

Practice location

4004 N Church St
Greensboro, NC 27455-2624

Call (336) 686-3226 Map

Mailing address

PO Box 29221
Greensboro, NC 27429-9221

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone 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 1932474764

Tyra Davenport LLC's National Provider Identifier is 1932474764, issued on Mar 12, 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 Mar 12, 2012.