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Wake Forest University Health Sciences — NPI 1912082645, Winston Salem, NC | NPI Central

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NPI 1912082645

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Wake Forest University Health Sciences

NPI 1912082645 · Developmental Disabilities Clinic/Center · Winston Salem, NC

Provider details

NPI number: 1912082645
Entity type: Organization
Primary specialty: Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Wake Forest University Health Sciences
Organization subpart: Yes
Authorized official: David Zaas, President(336) 716-2661

Specialties & taxonomies

Developmental Disabilities Clinic/CenterPrimary261QD1600X
Ambulatory Health Care Facilities

Practice location

2200 Cloverdale Ave Ste 341

Winston Salem, NC 27103-2300

Phone: (336) 774-2408

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

2200 Cloverdale Ave Ste 341

Winston Salem, NC 27103-2300

Other names (DBA / former)

Other name: Amos Cottage - Cdsa

Registry dates

Enumerated: 2006-10-25
Last updated: 2025-11-12
Certified: 2025-11-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.