Climbing Jacobs Ladder LLC
NPI #1215024682 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1215024682
- Entity Type
- Organization
- Organization Name
- Climbing Jacobs Ladder LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Jun 10, 2008
Practice Location
- Address
- 3401 HEALY DR
- Address 2
- SUITE-B
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27103-1450
- Phone
- (336) 760-5516
Authorized Official
- Name
- MR. JAMES ROBERT PAUL
- Title
- DIRECTOR
- Phone
- (336) 760-5516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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