| Amos Cottage Therapeutic Day Program | |
|
3325 Silas Creek Pkwy Winston Salem NC 27103-3013 | |
| (336) 774-2408 | |
| Not Available |
| Full Name | Amos Cottage Therapeutic Day Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3325 Silas Creek Pkwy, Winston Salem, North Carolina |
| Authorized Official Name and Position | William B. Applegate (PRESIDENT) |
| Authorized Official Contact | 3367164424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amos Cottage Therapeutic Day Program 3325 Silas Creek Pkwy Winston Salem NC 27103-3013 Ph: (336) 774-2408 | Amos Cottage Therapeutic Day Program 3325 Silas Creek Pkwy Winston Salem NC 27103-3013 Ph: (336) 774-2408 |
| NPI Number | 1457652265 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457652265 | NPI | - | NPPES |
| 00391 | Other | NC | BCBS |
| 8301291 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-034-159 (North Carolina) | Primary |
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