FIRST CHURCH OF GOD IN CHRIST INC NPI 1629108873

NPI Information

FIRST CHURCH OF GOD IN CHRIST INC is a residential treatment facility emotionally disturbed children in Winston Salem, NC. The provider is 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. FIRST CHURCH OF GOD IN CHRIST INC NPI is 1629108873. The provider is registered as an organization entity type.

The provider's business location address is:

185 SARATOGA ST
WINSTON SALEM, NC
ZIP 27103-313
Phone: (336) 760-4800

The provider's authorized official is Bernie D Cundiff .
The authorized official title is President and has the following contact phone number (336) 760-4800.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 6/18/2008.

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:

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