Provider Demographics
NPI:1679769475
Name:ZAD CORP
Entity Type:Organization
Organization Name:ZAD CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TARSHA
Authorized Official - Middle Name:LASHARN
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:910-229-1275
Mailing Address - Street 1:131 W EDINBOROUGH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2861
Mailing Address - Country:US
Mailing Address - Phone:910-878-0126
Mailing Address - Fax:910-878-0127
Practice Address - Street 1:131 W EDINBOROUGH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-2861
Practice Address - Country:US
Practice Address - Phone:910-878-0126
Practice Address - Fax:910-878-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-15
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health