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Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI: 1558402016Organization
Specialties, Licenses & Credentials
Intermediate Care Facility, Intellectual Disabilities
Code: 315P00000X
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 - Phone
- (336) 744-1805
Quick Facts
- NPI
- 1558402016
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 5
- Locations
- 1
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