Calm Source Inc in Winston Salem - Community Based Residential Treatment Facility, Mental Illness

Calm Source Inc - NPI 1447414636

Calm Source Inc is a Community Based Residential Treatment Facility, Mental Illness in Winston Salem, North Carolina. Calm Source Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Calm Source Inc is 1447414636. The last update date is 2010-05-20.

Calm Source Inc's current location address is 895 Peters Creek Pkwy Ste 101, Winston Salem, North Carolina. You can contact this provider via phone number 3369707229. The mailing address for Calm Source Inc is 895 Peters Creek Pkwy Ste 101, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Calm Source Inc
Address 895 Peters Creek Pkwy Ste 101, Winston Salem, North Carolina
Phone Number 3369707229
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Mcclendon D Antonio
Telephone Number 3369707229

NPI Number Detail

NPI Number 1447414636
Provider Enumeration Date 2008-07-16
Last Updated Date 2010-05-20

Provider Mailing Address Detail

Address 895 Peters Creek Pkwy Ste 101
City Winston Salem
State North Carolina (NC)
Post Code 271033858
Phone Number 3369707229
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Licence No MHL-034-256
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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FAQs about Calm Source Inc

What is the unique 10-digit identifier code assigned to Calm Source Inc by the Centers for Medicare & Medicaid Services?

The Calm Source Inc has been issued the NPI (National Provider Identifier) 1447414636 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Calm Source Inc is geographically located?

The Calm Source Inc is physically situated at the following location: 895 Peters Creek Pkwy Ste 101, Winston Salem, NC, 271033858.

What is Calm Source Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Calm Source Inc is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 320800000X.

On what date did the Calm Source Inc receive the assignment of its 1447414636 from the Centers for Medicare & Medicaid Services?

The Calm Source Inc was issued its 1447414636 by the Centers for Medicare & Medicaid Services on 2008-07-16.

When was the information related to Calm Source Inc most recently updated or refreshed?

The details pertaining to the Calm Source Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-05-20.

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