Moda Human Services LLC
Moda Human Services LLC is a Mental Illness Community Based Residential Treatment Facility in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.
- Licensed in
- NC
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4420 Edrem AveWinston Salem, NC 27101-2108
Phone: (336) 725-9395
Fax: (336) 724-9365
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X (NC) |
|---|
Record details
| NPI number | 1013158039 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Malebogo Samuzala — Owner · (336) 705-0643 |
| NPI enumerated | March 20, 2009 |
| Last updated in NPPES | March 20, 2009 |
| Mailing address | Po Box 1073, Winston Salem, NC 27102-1073 |
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