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Organization
THE CHILDREN'S HOME, INC.
Active
Organization
THE CHILDREN'S HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BRYAN (CEO)
(336) 721-7680
Entity
Organization
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 721-7676
Mailing address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 721-7676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005176
—
NC
Enumeration date
10/04/2007
Last updated
10/04/2007
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