Organization
WFIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS TORRENCE (SECRETARY)
(704) 762-0815
Entity
Organization
Contact information
Practice address
811 WESLEY DR, SALISBURY, NC 28146-2257
(704) 637-0432
Mailing address
811 WESLEY DR, SALISBURY, NC 28146-2257
(704) 762-0815
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
305S00000X
Point of Service
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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