institution
Moda Human Services L.l.c
Mental Illness Community Based Residential Treatment Facility in Winston Salem, North Carolina
NPI 1013158039

Moda Human Services L.l.c is a Mental Illness Community Based Residential Treatment Facility based in Winston Salem, NC. Moda Human Services L.l.c practices in Winston Salem, NC. The NPI Number for Moda Human Services L.l.c is 1013158039 and holds a License No. (North Carolina).

The current practice location address for Moda Human Services L.l.c is 4420 Edrem Ave, Winston Salem, NC and can be reached out via phone at 336-725-9395 and via fax at 336-724-9365. You can also correspond with Moda Human Services L.l.c through the mailing address at PO BOX 1073, WINSTON SALEM, NC - 27102-1073 (mailing address contact number: 336-725-9395).

Location: 4420 Edrem Ave, Winston Salem, NC, 27102-1073
institution
Provider Profile Details
NPI Number
1013158039
Provider Name
Moda Human Services L.l.c
Credential
Provider Entity Type
Organization
Address
4420 Edrem Ave, Winston Salem, NC, 27102-1073
Phone Number
336-725-9395
Fax Number
336-724-9365
Provider Enumeration Date
03/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4420 Edrem Ave
City
State
Zip
27101-2108
Phone Number
336-725-9395
Fax Number
336-724-9365
person
Provider Business Mailing Address Details
Address
4420 Edrem Ave
City
State
Zip
27101-2108
Phone Number
336-725-9395
Fax Number
336-724-9365
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
(North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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