Organization
IWIN, LLC
Active
Other names
Bonny Valentine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNY VALENTINE CPC,MLC (CEO)
(704) 245-6409
Entity
Organization
Contact information
Practice address
909 S MAIN ST, SUITE 206, SALISBURY, NC 28144-6416
(704) 754-6690
Mailing address
909 S MAIN ST, SUITE 206, SALISBURY, NC 28144-6416
(704) 754-6690
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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