A Path Forward Of Nc, LLC.
Community/Behavioral Health in Winston Salem, NC. Organization (NPI-2).
NPI number1124611777
StatusActive
Last updated in NPPESFeb 15, 2021
Details
- NPI
- 1124611777
- Entity type
- Organization (NPI-2)
- Legal business name
- A Path Forward Of Nc, LLC.
- Organization subpart
- No
- Enumeration date
- Feb 15, 2021
- Certification date
- Feb 15, 2021
- Last updated
- Feb 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
401 E 4th St Ste 301Winston Salem, NC 27101-4173
Phone 336-986-4276
Mailing address
115 Harwick Place CtWinston Salem, NC 27103-6443
Phone 336-986-4276
Authorized official
David Lamont Watkins
Ceo
3369864276
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