Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
Organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Active
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Other names
Amos Cottage - CDSA
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Authorized official
DAVID WILLIAM ZAAS MD (PRESIDENT)
(336) 716-2661
Entity
Organization
Contact information
Practice address
2200 CLOVERDALE AVE STE 341, WINSTON SALEM, NC 27103-2300
(336) 774-2408
Mailing address
2200 CLOVERDALE AVE STE 341, WINSTON SALEM, NC 27103-2300
(336) 774-2408
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3403410
—
NC
Enumeration date
10/25/2006
Last updated
11/12/2025
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