| Care | |
|
1381 Old Mill Cir Suite 301 Winston Salem NC 27103-1400 | |
| (336) 760-1184 | |
| (336) 760-1727 |
| Full Name | Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1381 Old Mill Cir, Winston Salem, North Carolina |
| Authorized Official Name and Position | Shandra Cromartie (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3367601184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care 1381 Old Mill Cir Suite 301 Winston Salem NC 27103-1400 Ph: (336) 760-1184 | Care 1381 Old Mill Cir Suite 301 Winston Salem NC 27103-1400 Ph: (336) 760-1184 |
| NPI Number | 1811042401 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811042401 | NPI | - | NPPES |
| 3409208 | Medicaid | NC | |
| 8300661A | Medicaid | NC | |
| 8300661H | Medicaid | NC | |
| 8300661G | Medicaid | NC | |
| 7804690 | Medicaid | NC | |
| 8300661B | Medicaid | NC | |
| 8300661 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-034-172 (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | MHL-029-095 (North Carolina) | Primary |
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