Individual provider · Type 1 NPI
Trina Willette Kirby
Assisted Living Facility (Mental Illness) · Winston-Salem, NC
Practice location
Hines Mental Health Home No. 2, 105 Midian Court
Winston-Salem, NC 27105-5966
Mailing address
Hines Mental Health Home No. 2, P.o. Box 1331
Winston-Salem, NC 27102-1331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | MHL-034-142 (NC) |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1518083500
Trina Willette Kirby's National Provider Identifier is 1518083500, issued on Mar 21, 2007. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 8, 2007.