Organization
CRSE ADVANCED PLACEMENT HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER RAY STEWART (PRESIDENT)
(336) 722-1862
Entity
Organization
Contact information
Practice address
5713 HAWESWATER RD, WINSTON SALEM, NC 27105-1458
(336) 722-1862
(336) 722-1863
Mailing address
5713 HAWESWATER RD, WINSTON SALEM, NC 27105-1458
(336) 722-1862
(336) 722-1863
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-034-222
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604241
—
NC
Enumeration date
12/31/2007
Last updated
09/26/2013
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