Organization
MID-STATE HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERA GILMORE (PRESIDENT)
(910) 484-3717
Entity
Organization
Contact information
Practice address
2908 REYNOLDA RD, WINSTON SALEM, NC 27106-3016
(336) 722-6486
Mailing address
3721 LEGION RD, HOPE MILLS, NC 28348
(910) 484-3717
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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