Organization · Type 2 NPI

Moda Human Services L.l.c

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

NPI number 1013158039 Active

Practice location

4420 Edrem Ave
Winston Salem, NC 27101-2108

Call (336) 725-9395 Map

Fax (336) 724-9365

Mailing address

PO Box 1073
Winston Salem, NC 27102-1073

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1013158039

Moda Human Services L.l.c's National Provider Identifier is 1013158039, issued on Mar 20, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 20, 2009.