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New-lite Living Choices Tunstall Marvin Gen Ptr
Mental Illness Community Based Residential Treatment Facility in Winston Salem, North Carolina
NPI 1114052123

New-lite Living Choices Tunstall Marvin Gen Ptr is a Mental Illness Community Based Residential Treatment Facility based in Charlotte, NC. New-lite Living Choices Tunstall Marvin Gen Ptr practices in Winston Salem, NC. The NPI Number for New-lite Living Choices Tunstall Marvin Gen Ptr is 1114052123 and holds a License No. 8300407 (North Carolina).

The current practice location address for New-lite Living Choices Tunstall Marvin Gen Ptr is 3634 Vest Mill Rd, Winston Salem, NC and can be reached out via phone at 704-547-1900. You can also correspond with New-lite Living Choices Tunstall Marvin Gen Ptr through the mailing address at 416 MCCULLOUGH DR, CHARLOTTE, NC - 28262-4385 (mailing address contact number: 704-547-1900).

Location: 3634 Vest Mill Rd, Winston Salem, NC, 28262-4385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114052123
Provider Name
New-lite Living Choices Tunstall Marvin Gen Ptr
Credential
Provider Entity Type
Organization
Address
3634 Vest Mill Rd, Winston Salem, NC, 28262-4385
Phone Number
704-547-1900
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8300407 05 NC
8300407H 05 NC
8300407G 05 NC
institution
Provider Business Practice Location Address Details
Address
3634 Vest Mill Rd
City
Winston Salem
State
North Carolina
Zip
27103-2910
Phone Number
704-547-1900
Fax Number
person
Provider Business Mailing Address Details
Address
3634 Vest Mill Rd
City
Winston Salem
State
North Carolina
Zip
27103-2910
Phone Number
704-547-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6603599 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
8300407 (North Carolina)
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
8300407 (North Carolina)
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 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
8300407 (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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