# WILSON'S CONSTANT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilson's Constant Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821176702
- **Authorized official:** MS. KATHERINE NABRENA WILSON (CEO/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 391-3476

## Contact information

- **Practice address:** 1228 HIGHLAND AVE, WINSTON SALEM, NC 27101-1625
- **Practice address phone:** (336) 703-9650
- **Practice address fax:** (336) 703-9793
- **Mailing address:** 1228 HIGHLAND AVE, WINSTON SALEM, NC 27101-1625
- **Mailing address phone:** (336) 703-9650
- **Mailing address fax:** (336) 703-9793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-034-201 | NC | Yes |
| 385H00000X | Respite Care | — | — | — |
| 385HR2055X | Child Mental Illness Respite Care | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/23/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604063 | — | NC |