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MINDFUL THERAPEUTIC COMMUNITY SUPPORT PROGRAM
1981 EASTCHESTER DRIVE
STE B
HIGH POINT, NC27265
 Phone: 336-905-8011
 Fax: 336-905-8097
 Website:
Indicates primary specialty

NPI Profile & details for MINDFUL THERAPEUTIC COMMUNITY SUPPORT PROGRAM

NPI Number 1811833643
LBN Legal business name MINDFUL THERAPEUTIC COMMUNITY SUPPORT PROGRAM
Authorized official CRYSTAL MONTAGUE - (ORGANIZATIONAL DIRECTOR/QP)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2026
Last updated 04/24/2026 - About 1 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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