# THE SHALOM PROJECT, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Shalon Project Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558104505
- **Authorized official:** JEFFREY FOSTER (PROGRAMS DIRECTOR)
- **Authorized official phone:** (336) 721-0606

## Contact information

- **Practice address:** 3185 MAPLEWOOD AVE, WINSTON-SALEM, NC 27103
- **Practice address phone:** (336) 721-0606
- **Practice address fax:** (866) 838-2811
- **Mailing address:** 639 S GREEN ST, WINSTON-SALEM, NC 27101
- **Mailing address phone:** (336) 721-0606
- **Mailing address fax:** (866) 838-2811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/17/2024