Provider Demographics
NPI:1003177643
Name:ADVANCE SOLUTIONS II, LLC
Entity Type:Organization
Organization Name:ADVANCE SOLUTIONS II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TORRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-508-6582
Mailing Address - Street 1:203 WINDRUSH LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-9457
Mailing Address - Country:US
Mailing Address - Phone:336-508-6582
Mailing Address - Fax:
Practice Address - Street 1:91 CLEMMONS RD
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-8420
Practice Address - Country:US
Practice Address - Phone:336-508-6582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health