Organization
MY SISTER'S PLACE COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MARIE WHITE (CEO & EXECUTIVE DIRECTOR)
(336) 784-5922
Entity
Organization
Contact information
Practice address
2925 S MAIN ST, WINSTON SALEM, NC 27127-4006
(336) 784-5922
(336) 650-9516
Mailing address
908 GLENCOE ST, WINSTON SALEM, NC 27107-3315
(336) 784-5922
(336) 650-9516
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/25/2007
Last updated
08/22/2020
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