institution
Wtb New Vision Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Winston Salem, North Carolina
NPI 1982783049

Wtb New Vision Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Winston Salem, NC. Wtb New Vision Inc. practices in Winston Salem, NC. The NPI Number for Wtb New Vision Inc. is 1982783049 and holds a License No. (North Carolina).

The current practice location address for Wtb New Vision Inc. is 102 W 3Rd St, Winston Salem, NC and can be reached out via phone at 336-723-7707 and via fax at 336-723-7708.

Location: 102 W 3Rd St, Winston Salem, NC, 27101-3987
institution
Provider Profile Details
NPI Number
1982783049
Provider Name
Wtb New Vision Inc.
Credential
Provider Entity Type
Organization
Address
102 W 3Rd St, Winston Salem, NC, 27101-3987
Phone Number
336-723-7707
Fax Number
336-723-7708
Provider Enumeration Date
11/02/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603924 05 NC
8300791 05 NC
8300791B 05 NC
6603536 05 NC
6604170 05 NC
8300791G 05 NC
institution
Provider Business Practice Location Address Details
Address
102 W 3Rd St
City
State
Zip
27101-3940
Phone Number
336-723-7707
Fax Number
336-723-7708
person
Provider Business Mailing Address Details
Address
102 W 3Rd St
City
State
Zip
27101-3940
Phone Number
336-723-7707
Fax Number
336-723-7708
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MHL-034-170 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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