Healthcare Provider Details

I. General information

NPI: 1003145244
Provider Name (Legal Business Name): MEN OF HONOR 1 INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 GREENSTONE PL
HIGH POINT NC
27265-1413
US

IV. Provider business mailing address

1916 GREENSTONE PL
HIGH POINT NC
27265-1413
US

V. Phone/Fax

Practice location:
  • Phone: 336-905-7754
  • Fax:
Mailing address:
  • Phone: 336-905-7754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. HAROLD ANTHONY DRUMWRIGHT
Title or Position: OWNER
Credential:
Phone: 336-232-2834