| NPI | 1487800892 |
|---|---|
| Doing Business As | KINTEGRA/SHA AT WINSTON-SALEM PREP ACADEMY |
| Doing Business As | GFHS WSPA WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SHARMILA ANDERSON Business Services Administrator 704-874-1907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-01-15 |