NPI 1043308612

Springwell Network, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Winston Salem, NC

Practice location

Address: 3250 Stockton Street, Winston Salem, NC 27127-4843
Phone: (336) 788-5768
Fax: (336) 831-1314
Mailing address: 3820 North Patterson Avenue, Winston Salem, NC 27105

Authorised official

Name: Charlene Warren
Title: Executive Director
Phone: (336) 831-1300

Registered specialties (4)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence MHL-034-367 (NC)

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

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence MHL-034-367 (NC)

Other Community/Behavioral Health providers in North Carolina →

Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence MHL-034-367 (NC)

Other Custodial Care Facility providers in North Carolina →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence MHL034152 (NC)

Registry record

NPI: 1043308612
Entity type: Organization
NPI issued: 10 Oct 2006
Record last updated: 19 Feb 2018

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.