Organization
THE CHILDREN'S HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE M. BRYAN JR. (PRESIDENT/CEO)
(336) 721-7600
Entity
Organization
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 721-7676
Mailing address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7600
(336) 721-7676
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
B00010
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B00010
DEPARTMENT OF HEALTH & HUMAN SERVICES
NC
Enumeration date
04/06/2010
Last updated
04/06/2010
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