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Organization
SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY
Active
Organization
SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY BRADSHAW (OFFICE MANAGER)
(336) 713-7188
Entity
Organization
Contact information
Practice address
4555 OGBURN AVE, WINSTON SALEM, NC 27105-2726
(336) 703-4273
(336) 661-4954
Mailing address
MEDICAL CENTER BLVD, WFBH-SCHOOL HEALTH ALLIANCE, WINSTON SALEM, NC 27157-0001
(336) 713-7188
(336) 713-7183
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
261QS1000X
Student Health Clinic/Center
—
NULL
Other
Enumeration date
03/01/2007
Last updated
10/18/2016
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