Gorham, William Thomas

Gorham, William Thomas is an sole proprietor health care provider with primary practice located at 878 W Star St , Greenville NC 27834-0844. He recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is his primary health care specialty. Gorham, William Thomas can be contacted via phone (252) 417-6829.

Contact Information

Primary practice address
878 W Star St Greenville NC 27834-0844
Phone: (252) 417-6829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X North Carolina
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X North Carolina

Profile Details

NPI number 1568230902
LBN Legal business name Gorham, William Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2023
Last updated Dec 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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