| Unlimited Opportunities, Llc | |
|
4401 North Cherry Street Ste 60 Winston Salem NC 27105-2500 | |
| (336) 760-8800 | |
| (336) 765-0100 |
| Full Name | Unlimited Opportunities, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4401 North Cherry Street, Winston Salem, North Carolina |
| Authorized Official Name and Position | Nicole L Drake (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3367608800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unlimited Opportunities, Llc 4401 North Cherry Street Ste 60 Winston Salem NC 27105-2500 Ph: (336) 760-8800 | Unlimited Opportunities, Llc 4401 North Cherry Street Ste 60 Winston Salem NC 27105-2500 Ph: (336) 760-8800 |
| NPI Number | 1023138740 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023138740 | NPI | - | NPPES |
| 8301372 | Medicaid | NC | |
| 8301372B | Medicaid | NC | |
| 6006689 | Medicaid | NC | |
| 8301372H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6006689 (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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