Provider Demographics
NPI:1144621129
Name:MULTI-THERAPEUTIC SERVICES, INC.
Entity Type:Organization
Organization Name:MULTI-THERAPEUTIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-813-0723
Mailing Address - Street 1:2625 NEUDORF RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-7844
Mailing Address - Country:US
Mailing Address - Phone:336-778-2520
Mailing Address - Fax:336-778-2521
Practice Address - Street 1:1103 CARTER ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-5701
Practice Address - Country:US
Practice Address - Phone:336-778-2520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services