Organization · Type 2 NPI
Springwell Network, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Winston Salem, NC
Practice location
3830 Ebert Street
Winston Salem, NC 27127-5742
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-034-361 (NC) |
| Adult Care Home Facility | 311ZA0620X | MHL-034-361 (NC) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | MHL034150 (NC) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-034-361 (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 1215028246
Springwell Network, Inc.'s National Provider Identifier is 1215028246, issued on Sep 27, 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.