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EXCHANGE CLUB CHILD ABUSE PREVENTION CENTER OF NORTH CAROLINA NPI 1417045741


NPI Information

NPI: 1417045741
Provider Name: EXCHANGE CLUB CHILD ABUSE PREVENTION CENTER OF NORTH CAROLINA

Other Name: EXCHANGE SCAN

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
500 W NORTHWEST BLVD
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 748-9028
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EXCHANGE CLUB CHILD ABUSE PREVENTION CENTER OF NORTH CAROLINA is a community behavioral health in Winston Salem, NC. The provider is 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. EXCHANGE CLUB CHILD ABUSE PREVENTION CENTER OF NORTH CAROLINA NPI is 1417045741. The provider is registered as an organization entity type.
The provider Other Name Is Exchange Scan.

The provider's business location address is:

500 W NORTHWEST BLVD
WINSTON SALEM, NC
ZIP 27105-526
Phone: (336) 748-9028
Fax: (336) 748-9030

The provider's authorized official is Richard Paul Brodeur .
The authorized official title is Operations Manager/comptroller and has the following contact phone number (336) 748-9028.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16005439MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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