Provider Demographics
NPI:1447381181
Name:BOYS TO GENTLEMEN
Entity Type:Organization
Organization Name:BOYS TO GENTLEMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORRAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-598-5355
Mailing Address - Street 1:1798 N GREENE ST STE A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8761
Mailing Address - Country:US
Mailing Address - Phone:252-329-0030
Mailing Address - Fax:252-329-0073
Practice Address - Street 1:1798 N GREENE ST STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8761
Practice Address - Country:US
Practice Address - Phone:252-329-0030
Practice Address - Fax:252-329-0073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health