Organization
W&G COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANNIE CLYBURN (CEO)
(704) 851-9000
Entity
Organization
Contact information
Practice address
7612 HWY 52 SOUTH, MORVEN, NC 28119
(704) 851-9000
Mailing address
128 JOHNSON ST, WADESBORO, NC 28170-8106
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-004-034
NC
Other
Enumeration date
05/21/2012
Last updated
02/23/2016
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