Organization
A QUEST FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA WARREN BROCK (OWNER DIRECTOR)
(336) 473-8004
Entity
Organization
Contact information
Practice address
163 STRATFORD CT, SUITE 170, WINSTON SALEM, NC 27103-1836
(336) 724-9339
(336) 917-3046
Mailing address
163 STRATFORD CT, SUITE 170, WINSTON SALEM, NC 27103-1836
(336) 724-9339
(336) 917-3046
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302134B
—
NC
05
—
8302134G
—
NC
Enumeration date
03/06/2007
Last updated
07/21/2022
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