NPI 1225483068

Endwell Homes 2

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

Practice location

Address: 4403 Paula Dr, Winston Salem, NC 27127-6835
Phone: (757) 513-8987
Mailing address: 4266 Indiana Ave, Winston Salem, NC 27105-2510

Authorised official

Name: Anthony Okafor
Title: President
Phone: (757) 513-8987

Registered specialties

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 →

Registry record

NPI: 1225483068
Entity type: Organization
NPI issued: 29 Apr 2016
Record last updated: 29 Apr 2016

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.