# SPRINGWELL NETWORK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Group Homes of Forsyth, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083705032
- **Authorized official:** MS. CHARLENE WARREN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 831-1300

## Contact information

- **Practice address:** 460 RAVEN RIDGE RD, KERNERSVILLE, NC 27284-8046
- **Practice address phone:** (336) 722-3649
- **Practice address fax:** (336) 831-1314
- **Mailing address:** 3820 NORTH PATTERSON AVENUE, WINSTON SALEM, NC 27105
- **Mailing address phone:** (336) 831-1300
- **Mailing address fax:** (336) 831-1314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | MHL-034-366 | NC | — |
| 311ZA0620X | Adult Care Home Facility | MHL-034-366 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-034-366 | NC | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL034131 | NC | — |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 02/19/2018