Provider Demographics
NPI:1992028997
Name:FAITH SEEDS COMMUNITY REENTRY COALITION
Entity Type:Organization
Organization Name:FAITH SEEDS COMMUNITY REENTRY COALITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:COLLINS
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:336-703-5484
Mailing Address - Street 1:2290 PREMIER PARK LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-6306
Mailing Address - Country:US
Mailing Address - Phone:336-703-5484
Mailing Address - Fax:336-703-5485
Practice Address - Street 1:2290 PREMIER PARK LN
Practice Address - Street 2:SUITE B
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-6306
Practice Address - Country:US
Practice Address - Phone:336-703-5484
Practice Address - Fax:336-703-5485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management