Organization
THE CHILDRENS HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE LEE WILKES JR. MSRC (CLINICAL MANAGER FAMILY COUNSELOR)
(336) 721-7638
Entity
Organization
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7638
Mailing address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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