| Actt | |
|
1530 Martin St 105 Winston Salem NC 27103-4936 | |
| (336) 608-3381 | |
| (336) 608-3382 |
| Full Name | Actt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1530 Martin St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Melissa Walton (CEO) |
| Authorized Official Contact | 3367601330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Actt 1510 Martin St Winston Salem NC 27103-4906 Ph: (336) 760-1330 | Actt 1530 Martin St 105 Winston Salem NC 27103-4936 Ph: (336) 608-3381 |
| NPI Number | 1174934053 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 05/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174934053 | NPI | - | NPPES |
| 8300090A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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