Organization
ROOT TO RISE COUNSELING AND RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHALA PERRY MOTZNY MS/EDS (OWNER)
(336) 408-6917
Entity
Organization
Contact information
Practice address
713 ASHVIEW DR, WINSTON SALEM, NC 27103-3422
(336) 408-6917
Mailing address
PO BOX 24941, WINSTON SALEM, NC 27114-4941
(336) 408-6917
(336) 464-2802
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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