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Organization
THE URBAN GENT INITIATIVE
Active
Organization
THE URBAN GENT INITIATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DASHAWN DERRICK HOLMES (EXECUTIVE DIRECTOR)
(929) 459-1087
Entity
Organization
Contact information
Practice address
2643 REID ST, WINSTON SALEM, NC 27107-1608
(929) 459-1087
Mailing address
5711 SILCHESTER LN, CHARLOTTE, NC 28215-5328
(929) 459-1087
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/05/2025
Last updated
10/06/2025
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