Organization
ZOE: BEHAVIOR HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL B WITHERSPOON B.A.SOCIOLOGY (CEO, DIRECTOR)
(336) 734-6911
Entity
Organization
Contact information
Practice address
1922 S MARTIN LUTHER KING JR DR, BOX N SUITE 224, WINSTON SALEM, NC 27107-1361
(336) 734-6911
(336) 734-6917
Mailing address
1922 S MARTIN LUTHER KING JR DR, BOX N SUITE 224, WINSTON SALEM, NC 27107-1361
(336) 734-6911
(336) 734-6917
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
9046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418023
—
NC
Enumeration date
09/01/2006
Last updated
04/19/2013
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