| Partnership For A Drug Free North Carolina | |
|
665 W 4th St Winston Salem NC 27101-2701 | |
| (336) 715-8389 | |
| Not Available |
| Full Name | Partnership For A Drug Free North Carolina |
|---|---|
| Speciality | Counselor - Professional |
| Location | 665 W 4th St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Jeff Matkins (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3367258389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partnership For A Drug Free North Carolina 1514 Berwick Rd Winston Salem NC 27103-4704 Ph: (336) 760-0567 | Partnership For A Drug Free North Carolina 665 W 4th St Winston Salem NC 27101-2701 Ph: (336) 715-8389 |
| NPI Number | 1457550063 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457550063 | NPI | - | NPPES |
| 6005586 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2165 (North Carolina) | Primary |
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