Organization
IDM SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINIKA BROWN (CFO)
(336) 577-5341
Entity
Organization
Contact information
Practice address
1001 S MARSHALL ST, SUITE 251, WINSTON SALEM, NC 27101-5852
(336) 577-5341
Mailing address
PO BOX 17528, WINSTON SALEM, NC 27116-7528
(336) 577-5341
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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