Provider Demographics
NPI:1083804959
Name:BEYOND EXPECTATIONS COMPREHENSIVE SERVICES, INC.
Entity Type:Organization
Organization Name:BEYOND EXPECTATIONS COMPREHENSIVE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BOOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-287-3858
Mailing Address - Street 1:8064 NORTH POINT BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3235
Mailing Address - Country:US
Mailing Address - Phone:336-896-2046
Mailing Address - Fax:336-896-2047
Practice Address - Street 1:8064 NORTH POINT BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3235
Practice Address - Country:US
Practice Address - Phone:336-896-2046
Practice Address - Fax:336-896-2047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services