# THE CHILDREN'S HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tise Cottage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952537631
- **Authorized official:** MR. GEORGE M BRYAN (CEO/PRESIDENT)
- **Authorized official phone:** (336) 721-7600

## Contact information

- **Practice address:** 1001 REYNOLDA ROAD, WINSTON SALEM, NC 27104-3254
- **Practice address phone:** (336) 721-7600
- **Practice address fax:** (336) 728-4355
- **Mailing address:** 1001 REYNOLDA ROAD, WINSTON SALEM, NC 27104-3254
- **Mailing address phone:** (336) 721-7600
- **Mailing address fax:** (336) 728-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL034242 | NC | Yes |

## Other

- **Enumeration date:** 06/08/2009
- **Last updated:** 06/08/2009