| Embrenche | |
|
2070 Cloverdale Dr Suites A&b Winston Salem NC 27103-2624 | |
| (336) 722-8055 | |
| (336) 553-0665 |
| Full Name | Embrenche |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2070 Cloverdale Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Marty Hickman (DIRECTOR) |
| Authorized Official Contact | 3367228055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrenche 2070 Cloverdale Dr Suites A&b Winston Salem NC 27103-2624 Ph: (336) 722-8055 | Embrenche 2070 Cloverdale Dr Suites A&b Winston Salem NC 27103-2624 Ph: (336) 722-8055 |
| NPI Number | 1033291893 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033291893 | NPI | - | NPPES |
| 8300216 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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