Individual
MRS. TRINA WILLETTE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HINES MENTAL HEALTH HOME NO. 2, 105 MIDIAN COURT, WINSTON-SALEM, NC 27105-5966
(336) 986-2495
Mailing address
HINES MENTAL HEALTH HOME NO. 2, P.O. BOX 1331, WINSTON-SALEM, NC 27102-1331
(336) 986-2495
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-034-142
NC
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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