| Children's Hope Alliance | |
|
1400 Westgate Center Drive Suite 100 Winston Salem NC 27103 | |
| (336) 837-6171 | |
| (336) 744-1408 |
| Full Name | Children's Hope Alliance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1400 Westgate Center Drive, Winston Salem, North Carolina |
| Authorized Official Name and Position | Celeste Inez Dominguez (PRESIDENT/CEO) |
| Authorized Official Contact | 7048322211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hope Alliance 194 Barium Springs Dr Statesville NC 28677-8453 Ph: (704) 832-2200 | Children's Hope Alliance 1400 Westgate Center Drive Suite 100 Winston Salem NC 27103 Ph: (336) 837-6171 |
| NPI Number | 1659678787 |
|---|---|
| Provider Enumeration Date | 02/25/2011 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659678787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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