Mctavish Home | |
236 Mctavish Ln Winston Salem NC 27103 | |
(336) 448-5676 | |
(336) 272-8339 |
Full Name | Mctavish Home |
---|---|
Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 236 Mctavish Ln, Winston Salem, North Carolina |
Authorized Official Name and Position | Eric Michael Page (OPERATIONS MANAGER) |
Authorized Official Contact | 3362728335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mctavish Home 10 Oak Branch Dr Ste A Greensboro NC 27407-2995 Ph: (336) 272-8335 | Mctavish Home 236 Mctavish Ln Winston Salem NC 27103 Ph: (336) 448-5676 |
NPI Number | 1679975353 |
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Provider Enumeration Date | 09/24/2014 |
Last Update Date | 07/03/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679975353 | NPI | - | NPPES |
MHL-034-329 | Other | NC | LICENSE |
3418297 | Medicaid | NC |
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