Organization
CALM SOURCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO D MCCLENDON (PRESIDENT/CEO)
(336) 970-7229
Entity
Organization
Contact information
Practice address
149 GLENN BROOKE LN, KING, NC 27021-9328
(336) 970-7229
Mailing address
895 PETERS CREEK PKWY STE 101, WINSTON SALEM, NC 27103-3858
(336) 970-7229
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7556
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-034-256
NC
Other
Enumeration date
07/16/2008
Last updated
05/20/2010
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