NPI 1013107143

My Sister's Place Community Services, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Winston Salem, NC

Practice location

Address: 2925 S Main St, Winston Salem, NC 27127-4006
Phone: (336) 784-5922
Fax: (336) 650-9516
Mailing address: 908 Glencoe St, Winston Salem, NC 27107-3315

Authorised official

Name: Joan Marie White
Title: Ceo & Executive Director
Phone: (336) 784-5922

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in North Carolina →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1013107143
Entity type: Organization
NPI issued: 25 Jul 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.