Individual
DANA MORRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 THOMASVILLE RD, WINSTON SALEM, NC 27107-3353
(336) 587-8287
Mailing address
3720 FIELD SEDGE DR, WINSTON SALEM, NC 27107-1848
(336) 771-7263
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-034-274
NC
Other
Enumeration date
01/23/2011
Last updated
01/23/2011
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