Organization
JCM ADVOCATE DEVELOPMENT AND HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERDONNIS CHONDRAY MURRAY (EXECUTIVE DIRECTOR)
(336) 794-6706
Entity
Organization
Contact information
Practice address
180 VISTA CIR, C, WINSTON SALEM, NC 27106-1967
(336) 794-6706
(336) 723-9110
Mailing address
180 VISTA CIR, C, WINSTON SALEM, NC 27106-1967
(336) 794-6706
(336) 723-9110
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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