Organization
EXCHANGE CLUB CHILD ABUSE PREVENTION CENTER OF NORTH CAROLINA
Active
Other names
Exchange SCAN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PAUL BRODEUR (OPERATIONS MANAGER/COMPTROLLER)
(336) 748-9028
Entity
Organization
Contact information
Practice address
500 W NORTHWEST BLVD, WINSTON SALEM, NC 27105-6526
(336) 748-9028
(336) 748-9030
Mailing address
500 W NORTHWEST BLVD, WINSTON SALEM, NC 27105-6526
(336) 748-9028
(336) 748-9030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005439
—
NC
Enumeration date
10/11/2006
Last updated
08/22/2020
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