Provider Demographics
NPI:1023580529
Name:A1 QUALITY SERVICES
Entity Type:Organization
Organization Name:A1 QUALITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:COTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:919-999-8241
Mailing Address - Street 1:4626 W MARKET ST # 182
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2974
Mailing Address - Country:US
Mailing Address - Phone:919-999-8241
Mailing Address - Fax:336-464-2442
Practice Address - Street 1:4626 W MARKET ST # 182
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2974
Practice Address - Country:US
Practice Address - Phone:919-999-8241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health