Organization · Type 2 NPI

New-Lite Living Choices Tunstall Marvin Gen PTR

Community/Behavioral Health Agency · Winston Salem, NC

NPI number 1114052123 Active

Practice location

3634 Vest Mill Rd
Winston Salem, NC 27103-2910

Call (704) 547-1900 Map

Mailing address

416 Mccullough Dr, Suite 125
Charlotte, NC 28262-4385

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X8300407 (NC)
Case Management Agency 251B00000X8300407 (NC)
Community/Behavioral Health Agency Primary 251S00000X8300407 (NC)
Mental Illness Community Based Residential Treatment Facility 320800000X6603599 (NC)
Mental Illness Community Based Residential Treatment Facility 320800000X6603600 (NC)
Mental Illness Community Based Residential Treatment Facility 320800000X6603994 (NC)
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000X6604265 (NC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1114052123

New-Lite Living Choices Tunstall Marvin Gen PTR's National Provider Identifier is 1114052123, issued on Feb 22, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Winston Salem, NC. The record was last updated on Feb 3, 2009.