| Community Choices, Inc | |
|
726 N Cherry St Winston Salem NC 27101-1419 | |
| (336) 397-5000 | |
| Not Available |
| Full Name | Community Choices, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 726 N Cherry St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Misty Fulk (VP, QUALITY & SERVICE INTEGRATION) |
| Authorized Official Contact | 7045330166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Choices, Inc 5800 Executive Center Dr Ste 100 Charlotte NC 28212-8859 Ph: (704) 336-4844 | Community Choices, Inc 726 N Cherry St Winston Salem NC 27101-1419 Ph: (336) 397-5000 |
| NPI Number | 1386940435 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386940435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-034-217 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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