Wtb New Vision Inc. in Winston Salem - Residential Treatment Facility, Emotionally Disturbed Children

Wtb New Vision Inc. - NPI 1982783049

Wtb New Vision Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Winston Salem, North Carolina. Wtb New Vision Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Wtb New Vision Inc. is 1982783049. The last update date is 2014-06-06.

Wtb New Vision Inc.'s current location address is 102 W 3rd St, Winston Salem, North Carolina. You can contact this provider via phone number 3367237707 and fax number 3367237708. The mailing address for Wtb New Vision Inc. is 102 W 3rd St, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wtb New Vision Inc.
Address 102 W 3rd St, Winston Salem, North Carolina
Phone Number 3367237707
Fax Number 3367237708
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Hairston Brian
Telephone Number 3367237707

NPI Number Detail

NPI Number 1982783049
Provider Enumeration Date 2006-11-02
Last Updated Date 2014-06-06

Provider Mailing Address Detail

Address 102 W 3rd St
City Winston Salem
State North Carolina (NC)
Post Code 271013987
Phone Number 3367237707
Fax Number 3367237708

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No MHL-034-185
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6603924 NC --
8300791 NC --
8300791B NC --
6603536 NC --
6604170 NC --
8300791G NC --

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FAQs about Wtb New Vision Inc.

What is the Wtb New Vision Inc.'s 1982783049?

The Wtb New Vision Inc.'s NPI (National Provider Identifier) Number is 1982783049. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Wtb New Vision Inc. is geographically located?

The Wtb New Vision Inc. is physically situated at the following location: 102 W 3Rd St, Winston Salem, NC, 271013987.

What is Wtb New Vision Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Wtb New Vision Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1982783049 to Wtb New Vision Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1982783049 to Wtb New Vision Inc. on 2006-11-02.

As of what date were the details pertaining to Wtb New Vision Inc. last refreshed?

The information related to the Wtb New Vision Inc., including its address, specialty, and other relevant details, was last updated on 2014-06-06.

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