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Organization
THE CROSSNORE SCHOOL & CHILDRENS HOME, INC
Active
Organization
THE CROSSNORE SCHOOL & CHILDRENS HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LOFTIS JR. (CEO)
(336) 721-7600
Entity
Organization
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 728-4355
Mailing address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 728-4355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8300421
NC HEALTHCHOICE
—
05
—
8300421
—
NC
Enumeration date
01/03/2008
Last updated
01/24/2017
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