Echo Trail Group Home in Winston Salem - Community Based Residential Treatment Facility, Mental Illness

Echo Trail Group Home - NPI 1457528788

Echo Trail Group Home is a Community Based Residential Treatment Facility, Mental Illness in Winston Salem, North Carolina. Echo Trail Group Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Echo Trail Group Home is 1457528788. The last update date is 2008-05-15.

Echo Trail Group Home's current location address is 3634 Vest Mill Rd, Winston Salem, North Carolina. You can contact this provider via phone number 7045471900. The mailing address for Echo Trail Group Home is 3634 Vest Mill Rd, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Echo Trail Group Home
Address 3634 Vest Mill Rd, Winston Salem, North Carolina
Phone Number 7045471900
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING SP
Authorized Official Name Cahoon Stephanie
Telephone Number 7049068893

NPI Number Detail

NPI Number 1457528788
Provider Enumeration Date 2008-05-15
Last Updated Date 2008-05-15

Provider Mailing Address Detail

Address 3634 Vest Mill Rd
City Winston Salem
State North Carolina (NC)
Post Code 271032910
Phone Number 7045471900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6604265 NC --

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FAQs about Echo Trail Group Home

What is the Echo Trail Group Home's 1457528788?

The Echo Trail Group Home's NPI (National Provider Identifier) Number is 1457528788. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Echo Trail Group Home's physical address?

The Echo Trail Group Home is physically located at 3634 Vest Mill Rd, in the city of Winston Salem, NC, with the postal code 271032910.

What is the area of specialization for Echo Trail Group Home, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Echo Trail Group Home is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 320800000X.

On what date was the 1457528788 assigned to Echo Trail Group Home?

The Echo Trail Group Home was issued its 1457528788 on 2008-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Echo Trail Group Home most recently updated?

The details pertaining to the Echo Trail Group Home, including its address, specialty, and other relevant information, were last refreshed on 2008-05-15.

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