NPI 1639565179

Latanya Goodwin

Practitioner Mental Illness Intermediate Care Facility Winston Salem, NC

Practice location

Address: 558 Mission Rd, Winston Salem, NC 27103-1708
Phone: (502) 319-0455

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1639565179
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2015
Record last updated: 8 Oct 2015

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.