My Sister'S Place Community Services, INC
Community/Behavioral Health in Winston Salem, NC. Organization (NPI-2).
NPI number1982802625
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982802625
- Entity type
- Organization (NPI-2)
- Legal business name
- My Sister'S Place Community Services, INC
- Organization subpart
- No
- Enumeration date
- Jul 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2925 S Main StWinston Salem, NC 27127-4006
Phone 336-784-5922 · Fax 336-650-9516
Mailing address
908 Glencoe StWinston Salem, NC 27107-3315
Authorized official
Joan Marie White
Ceo & Executive Director
3367845922
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