in Winston Salem - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
- NPI 1861542979
is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Winston Salem, North Carolina. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for is 1861542979. The last update date is .
's current location address is 1660 Reynolds Forest Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367881878. The mailing address for is 1660 Reynolds Forest Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1660 Reynolds Forest Dr, Winston Salem, North Carolina |
| Phone Number | 3367881878 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861542979 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1660 Reynolds Forest Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271071539 |
| Phone Number | 3367881878 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-034-205 |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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