Organization
KEYSTONE CARE NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL S REID (PRESIDENT)
(704) 312-0110
Entity
Organization
Contact information
Practice address
4770 BAUX MOUNTAIN RD, WINSTON SALEM, NC 27105-1968
(704) 312-0110
Mailing address
500 W 5TH ST, STE 800 #1137, WINSTON SALEM, NC 27101
(704) 312-0110
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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