Organization
A PATH FORWARD OF NC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LAMONT WATKINS MBA (CEO)
(336) 986-4276
Entity
Organization
Contact information
Practice address
401 E 4TH ST STE 301, WINSTON SALEM, NC 27101-4173
(336) 986-4276
Mailing address
115 HARWICK PLACE CT, WINSTON SALEM, NC 27103-6443
(336) 986-4276
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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