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NPI 1124611777 · Community/Behavioral Health Agency · Winston Salem, NC
Provider details
- NPI number
- 1124611777
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- David Watkins, Ceo(336) 986-4276
Specialties & taxonomies
Agencies
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 E 4th St Ste 301
Winston Salem, NC 27101-4173
Phone: (336) 986-4276
Street-level locationGet directions
Mailing address
115 Harwick Place Ct
Winston Salem, NC 27103-6443
Registry dates
- Enumerated
- 2021-02-15
- Last updated
- 2021-02-15
- Certified
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.