Organization
NOA HUMAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBINNA O IKWECHEGH (OWNER)
(336) 602-2534
Entity
Organization
Contact information
Practice address
4420 EDREM AVE, WINSTON SALEM, NC 27101-2108
(336) 602-2534
(336) 602-2534
Mailing address
PO BOX 1073, WINSTON SALEM, NC 27102-1073
(336) 602-2534
(336) 602-2534
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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