institution
Grandfather Home Community Services For Children
Mental Illness Community Based Residential Treatment Facility in Winston Salem, North Carolina
NPI 1588721591

Grandfather Home Community Services For Children is a Mental Illness Community Based Residential Treatment Facility based in Banner Elk, NC. Grandfather Home Community Services For Children practices in Winston Salem, NC. The NPI Number for Grandfather Home Community Services For Children is 1588721591 and holds a License No. MHL-034-015 (North Carolina).

The current practice location address for Grandfather Home Community Services For Children is 5560 Sturmer Park Cir, Winston Salem, NC and can be reached out via phone at 828-898-5465 and via fax at 828-898-8513. You can also correspond with Grandfather Home Community Services For Children through the mailing address at PO BOX 98, BANNER ELK, NC - 28604-0098 (mailing address contact number: 828-898-5465).

Location: 5560 Sturmer Park Cir, Winston Salem, NC, 28604-0098
institution
Provider Profile Details
NPI Number
1588721591
Provider Name
Grandfather Home Community Services For Children
Credential
Provider Entity Type
Organization
Address
5560 Sturmer Park Cir, Winston Salem, NC, 28604-0098
Phone Number
828-898-5465
Fax Number
828-898-8513
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603668 05 NC
institution
Provider Business Practice Location Address Details
Address
5560 Sturmer Park Cir
City
State
Zip
27105-1372
Phone Number
828-898-5465
Fax Number
828-898-8513
person
Provider Business Mailing Address Details
Address
5560 Sturmer Park Cir
City
State
Zip
27105-1372
Phone Number
828-898-5465
Fax Number
828-898-8513
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
MHL-034-015 (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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