Organization
MCARRE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBOREA WINFREY PH.D (INTERIM EXECUTIVE DIRECTOR)
(336) 774-3988
Entity
Organization
Contact information
Practice address
122 N SPRUCE ST, WINSTON SALEM, NC 27101-2734
(336) 774-3988
(336) 774-3989
Mailing address
122 N SPRUCE ST, WINSTON SALEM, NC 27101-2734
(336) 774-3988
(336) 774-3989
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-034-137
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-034-140
NC
Other
Enumeration date
02/06/2007
Last updated
04/22/2008
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