Organization
CENTRAL PIEDMONT ACCESS II
Active
Organization
CENTRAL PIEDMONT ACCESS II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM GRAHAM (EXECUTIVE DIRECTOR)
(336) 716-5654
Entity
Organization
Contact information
Practice address
1920 W 1ST ST, FLOOR 5, WINSTON SALEM, NC 27104-4220
(336) 716-5654
(336) 716-2683
Mailing address
PO BOX 15046, WINSTON SALEM, NC 27113-0046
(336) 716-5654
(336) 716-2683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001547
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005896
—
NC
Enumeration date
02/12/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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