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Organization
QP CONSULTING INC
Active
Organization
QP CONSULTING INC
Active
Other names
QP Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GONZALEZ (PRESIDENT/CEO)
(336) 902-3933
Entity
Organization
Contact information
Practice address
1468 BROOKWOOD DR, WINSTON SALEM, NC 27106-4115
(336) 902-3933
(336) 829-5905
Mailing address
2317 WAVERLY DELL DR, WINSTON SALEM, NC 27127-5981
(336) 902-3933
(336) 829-5905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MHL034396
—
NC
Enumeration date
11/24/2021
Last updated
01/04/2022
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