Organization
INSTITUTE FOR FAMILY CENTERED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY INMAN LCAS (PROGRAM MANAGER)
(336) 561-1268
Entity
Organization
Contact information
Practice address
4035 UNIVERSITY PKWY, SUITE 101, WINSTON SALEM, NC 27106-3276
(336) 397-1563
Mailing address
4035 UNIVERSITY PKWY, SUITE 101, WINSTON SALEM, NC 27106-3276
(336) 397-1563
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
10443A
NC
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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