Provider Demographics
NPI:1891837647
Name:THE CENTERS FOR EXCEPTIONAL CHILDREN
Entity Type:Organization
Organization Name:THE CENTERS FOR EXCEPTIONAL CHILDREN
Other - Org Name:THE CHILDREN'S CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-727-2440
Mailing Address - Street 1:2315 COLISEUM DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5801
Mailing Address - Country:US
Mailing Address - Phone:336-727-2440
Mailing Address - Fax:336-727-2873
Practice Address - Street 1:2315 COLISEUM DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5801
Practice Address - Country:US
Practice Address - Phone:336-727-2440
Practice Address - Fax:336-727-2873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72118342251P0200X
NC7331042225XP0200X
NC7411912235Z00000X
NC7472921235Z00000X
251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211833Medicaid