| The Children's Home, Inc. | |
|
1001 Reynolda Rd Winston Salem NC 27104-3245 | |
| (336) 721-7600 | |
| (336) 721-7676 |
| Full Name | The Children's Home, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1001 Reynolda Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | George Bryan (CEO) |
| Authorized Official Contact | 3367217680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Home, Inc. 1001 Reynolda Rd Winston Salem NC 27104-3245 Ph: (336) 721-7600 | The Children's Home, Inc. 1001 Reynolda Rd Winston Salem NC 27104-3245 Ph: (336) 721-7600 |
| NPI Number | 1194913186 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194913186 | NPI | - | NPPES |
| 6005176 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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