Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Thomas Gorham Jr.

Individual provider Community/Behavioral Health Agency · NPI 1568230902

William Thomas Gorham Jr. is a Community/Behavioral Health Agency in Greenville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
Specialties on file
4
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Practice location Address checks out

878 W Star St
Greenville, NC 27834-0844
Phone: (252) 417-6829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X (NC)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X (NC)

Record details

NPI number1568230902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 14, 2023
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

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