Healthcare Provider Details

I. General information

NPI: 1982739462
Provider Name (Legal Business Name): EMBRACE US, INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 11/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 W MARKET ST STE. C.
GREENSBORO NC
27403-1588
US

IV. Provider business mailing address

5603 DAVID CHRISTIAN PL
GREENSBORO NC
27410-1930
US

V. Phone/Fax

Practice location:
  • Phone: 336-254-1805
  • Fax: 336-547-3968
Mailing address:
  • Phone: 336-254-1805
  • Fax: 336-547-3968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CONTESSA STRADER
Title or Position: OWNER
Credential:
Phone: 336-254-1805