Wtb New Vision Inc.
LBN: Wtb New Vision Inc.
Wtb New Vision Inc. is an health care organization with primary practice located at 102 W 3Rd St Suite 502, Winston Salem NC 27101-3940. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty.
Wtb New Vision Inc. can be contacted via phone (336) 723-7707, or through Hairston, Brian via phone (336) 723-7707.
Contact Information
Primary practice address
102 W 3Rd St Suite 502
Winston Salem NC 27101-3940
Phone: (336) 723-7707
Fax: (336) 723-7708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL-034-170 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | MHL-034-185 | North Carolina |
Profile Details
| NPI number | 1982783049 |
|---|---|
| LBN Legal business name | Wtb New Vision Inc. |
| DBA Doing business as | |
| Authorized official | Hairston, Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jun 6th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982783049 | NPPES |
| North Carolina | MEDICAID | 6603924 | |
| North Carolina | MEDICAID | 8300791 | |
| North Carolina | MEDICAID | 8300791B | |
| North Carolina | MEDICAID | 6603536 | |
| North Carolina | MEDICAID | 6604170 | |
| North Carolina | MEDICAID | 8300791G |
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