Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Behavioral Medicine - FSLR Pediatric
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
2933 MAPLEWOOD AVE STE 1, WINSTON SALEM, NC 27103-4001
(336) 802-2205
(336) 802-2206
Mailing address
2933 MAPLEWOOD AVE STE 1, WINSTON SALEM, NC 27103-4001
(336) 802-2205
(336) 802-2206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
09/25/2025
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