Organization
CRSE ADVANCED PLACEMENT HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER RAY STEWART B.S., Q.P. (PRESIDENT)
(336) 722-1862
Entity
Organization
Contact information
Practice address
4433 ANSLEY DR, WINSTON SALEM, NC 27107-7676
(336) 722-1862
(336) 722-1863
Mailing address
2295 E 14TH ST, SUITE 400, WINSTON SALEM, NC 27105-6804
(336) 722-1862
(336) 722-1863
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
034-171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603534
—
NC
Enumeration date
03/08/2007
Last updated
04/29/2009
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