A Path Forward Of Nc, Llc. | |
401 E 4th St Ste 301 Winston Salem NC 27101-4173 | |
(336) 986-4276 | |
Not Available |
Full Name | A Path Forward Of Nc, Llc. |
---|---|
Speciality | Community/behavioral Health |
Location | 401 E 4th St Ste 301, Winston Salem, North Carolina |
Authorized Official Name and Position | David Lamont Watkins (CEO) |
Authorized Official Contact | 3369864276 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A Path Forward Of Nc, Llc. 115 Harwick Place Ct Winston Salem NC 27103-6443 Ph: (336) 986-4276 | A Path Forward Of Nc, Llc. 401 E 4th St Ste 301 Winston Salem NC 27101-4173 Ph: (336) 986-4276 |
NPI Number | 1124611777 |
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Provider Enumeration Date | 02/15/2021 |
Last Update Date | 02/15/2021 |
Certification Date | 02/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124611777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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