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 | 1992835839 |
---|---|
Provider Enumeration Date | 03/07/2007 |
Last Update Date | 12/19/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992835839 | NPI | - | NPPES |
8300216G | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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