Bottom Up Outreach Center
Community Health Worker in Winston Salem, NC. Organization (NPI-2).
NPI number1447682935
StatusActive
Last updated in NPPESAug 6, 2013
Details
- NPI
- 1447682935
- Entity type
- Organization (NPI-2)
- Legal business name
- Bottom Up Outreach Center
- Organization subpart
- No
- Enumeration date
- Aug 6, 2013
- Last updated
- Aug 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | 17053251337009 | NC | Yes |
Practice location
554 Bedford Knoll DrWinston Salem, NC 27107-2023
Phone 336-995-8370
Mailing address
554 Bedford Knoll DrWinston Salem, NC 27107-2023
Authorized official
Joseph Whaley
President
3369958370
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