Organization · Type 2 NPI

Springwell Network, Inc.

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

NPI number 1043308612 Active

Practice location

3250 Stockton Street
Winston Salem, NC 27127-4843

Call (336) 788-5768 Map

Fax (336) 831-1314

Mailing address

3820 North Patterson Avenue
Winston Salem, NC 27105

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	MHL-034-367 (NC)
Adult Care Home Facility	311ZA0620X	MHL-034-367 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	MHL034152 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	MHL-034-367 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1043308612

Springwell Network, Inc.'s National Provider Identifier is 1043308612, issued on Oct 10, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 19, 2018.