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Journey Of Life Transformation
Substance Abuse Rehabilitation Facility in Winston Salem, North Carolina
NPI 1043099757

Journey Of Life Transformation is a Substance Abuse Rehabilitation Facility based in Winston Salem, NC. Journey Of Life Transformation practices in Winston Salem, NC. The NPI Number for Journey Of Life Transformation is 1043099757 and holds a License No. (North Carolina).

The current practice location address for Journey Of Life Transformation is 178 S Peace Haven Rd, Winston Salem, NC and can be reached out via phone at 336-995-1418 and via fax at 336-448-5386. You can also correspond with Journey Of Life Transformation through the mailing address at 178 S PEACE HAVEN RD, WINSTON SALEM, NC - 27104-4439 (mailing address contact number: 336-995-1418).

Location: 178 S Peace Haven Rd, Winston Salem, NC, 27104-4439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043099757
Provider Name
Journey Of Life Transformation
Credential
Provider Entity Type
Organization
Address
178 S Peace Haven Rd, Winston Salem, NC, 27104-4439
Phone Number
336-995-1418
Fax Number
336-448-5386
Provider Enumeration Date
09/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
178 S Peace Haven Rd
City
Winston Salem
State
North Carolina
Zip
27104-4439
Phone Number
336-995-1418
Fax Number
336-448-5386
person
Provider Business Mailing Address Details
Address
178 S Peace Haven Rd
City
Winston Salem
State
North Carolina
Zip
27104-4439
Phone Number
336-995-1418
Fax Number
336-448-5386
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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