Organization
RESTORING FAITH, HOME & HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIQUE RAYSHAWN WILLIAMS (CEO)
(336) 255-4473
Entity
Organization
Contact information
Practice address
2830 WILD POPLAR WAY, GREENSBORO, NC 27405-2951
(336) 255-4473
(336) 285-5466
Mailing address
2830 WILD POPLAR WAY, GREENSBORO, NC 27405-2951
(336) 255-4473
(336) 285-5466
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
02/17/2025
Last updated
02/25/2025
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