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Organization
SPRINGWELL NETWORK, INC.
Active
Organization
SPRINGWELL NETWORK, INC.
Active
Other names
Group Homes of Forsyth, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE WARREN (EXECUTIVE DIRECTOR)
(336) 831-1300
Entity
Organization
Contact information
Practice address
2001INDEPENDENCE ROAD, WINSTON SALEM, NC 27106-2411
(336) 924-0136
(336) 831-1314
Mailing address
3820 NORTH PATTERSON AVENUE, WINSTON SALEM, NC 27105
(336) 831-1300
(336) 831-1314
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-034-363
NC
311ZA0620X
Adult Care Home Facility
MHL-034-363
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-034-363
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL034151
NC
Other
Enumeration date
09/27/2006
Last updated
02/19/2018
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