Organization
TRANSCENDING MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO L BROADY B.S (PRESIDENT CEO)
(336) 499-7683
Entity
Organization
Contact information
Practice address
4407 PROVIDENCE LN STE C, WINSTON SALEM, NC 27106-3264
(336) 499-7683
(336) 499-3952
Mailing address
4407 PROVIDENCE LN STE C, WINSTON SALEM, NC 27106-3264
(336) 499-7683
(336) 499-3952
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
8301462
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301462
—
NC
Enumeration date
12/27/2006
Last updated
08/22/2020
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