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Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1558402016Organization

Specialties, Licenses & Credentials

Community/Behavioral Health

Code: 251S00000X

Intermediate Care Facility, Intellectual Disabilities

Code: 315P00000X

Custodial Care Facility

Code: 311Z00000X

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320900000X

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

MHL-034-010(NC)

Contact & Hours

Address
5260 PINEVIEW DR
WINSTON SALEM, NC 27105

Quick Facts

NPI
1558402016
Entity Type
Organization
Medicare
Not confirmed
Specialties
5
Locations
1

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