Loving Reconnections Behavioral Health PA
NPI #1053861641 in Kernersville, North Carolina
Provider Information
- NPI Number
- 1053861641
- Entity Type
- Organization
- Organization Name
- Loving Reconnections Behavioral Health PA
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 7, 2016
- Last Updated
- Jan 23, 2017
Practice Location
- Address
- 110 HEPLER ST
- Address 2
- SUITE B
- City
- Kernersville
- State
- North Carolina
- ZIP Code
- 27284-2791
- Phone
- (336) 497-5701
Authorized Official
- Name
- MR. JOHN VINCENT GOVERNALE
- Title
- PRACTICE MANAGER / VICE PRESIDENT
- Phone
- (336) 497-5701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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