Organization
FIRST CHURCH OF GOD IN CHRIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNIE D CUNDIFF (PRESIDENT)
(336) 760-4800
Entity
Organization
Contact information
Practice address
185 SARATOGA ST, WINSTON SALEM, NC 27103-6313
(336) 760-4800
Mailing address
185 SARATOGA ST, WINSTON SALEM, NC 27103-6313
(336) 760-4800
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
06/18/2008
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