| Towergate Youth And Family Services, Inc. | |
|
500 W 4th St Winston Salem NC 27101-2782 | |
| (336) 723-1140 | |
| (336) 723-1142 |
| Full Name | Towergate Youth And Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 W 4th St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Brad Lessane (VP FINANCE) |
| Authorized Official Contact | 7047012123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Towergate Youth And Family Services, Inc. Po Box 822 Concord Concord NC 28026-0822 Ph: () - | Towergate Youth And Family Services, Inc. 500 W 4th St Winston Salem NC 27101-2782 Ph: (336) 723-1140 |
| NPI Number | 1962686857 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962686857 | NPI | - | NPPES |
| 8301759 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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