| Qp Residential Care | |
|
1468 Brookwood Dr Winston Salem NC 27106-4115 | |
| (336) 902-3933 | |
| (336) 829-5905 |
| Full Name | Qp Residential Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1468 Brookwood Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Lisa Gonzalez (PRESIDENT/CEO) |
| Authorized Official Contact | 3369023933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qp Residential Care 2317 Waverly Dell Dr Winston Salem NC 27127-5981 Ph: (336) 902-3933 | Qp Residential Care 1468 Brookwood Dr Winston Salem NC 27106-4115 Ph: (336) 902-3933 |
| NPI Number | 1083371082 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083371082 | NPI | - | NPPES |
| MHL034396 | Medicaid | NC |
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