Organization
CAROLINA ACCESS LIFE LINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA REGINA THOMPKINS BSW (CHIEF OPERATING OFFICER)
(336) 408-5957
Entity
Organization
Contact information
Practice address
2900 REYNOLDS PARK RD, WINSTON SALEM, NC 27107-1653
(336) 408-5957
Mailing address
2900 REYNOLDS PARK RD, WINSTON SALEM, NC 27107-1653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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