Organization
CAROLINA ACCESS LIFE LINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA THOMPKINS (PROGRAM DIRECTOR)
(336) 480-5957
Entity
Organization
Contact information
Practice address
2898 A WILLOW COVE DR, WINSTON SALEM, NC 27107-1636
(336) 480-5957
(336) 854-4452
Mailing address
2898 A WILLOW COVE DR, WINSTON SALEM, NC 27107-1636
(336) 480-5957
(336) 854-4452
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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