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Organization
UNLIMITED OPPORTUNITIES CENTER FOR CHANGE
Active
Organization
UNLIMITED OPPORTUNITIES CENTER FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DRAKE (DIRECTOR)
(336) 416-6032
Entity
Organization
Contact information
Practice address
4401 CHERRY ST, STE 50, WINSTON SALEM, NC 27105-2500
(336) 416-6032
Mailing address
4401 CHERRY ST, STE 50, WINSTON SALEM, NC 27105-2500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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