Provider Demographics
NPI:1134350812
Name:4-EVER CHANGE SERVICES, INC.
Entity type:Organization
Organization Name:4-EVER CHANGE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BA/QP
Authorized Official - Phone:336-986-3158
Mailing Address - Street 1:5033 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-6083
Mailing Address - Country:US
Mailing Address - Phone:336-661-3058
Mailing Address - Fax:336-661-3059
Practice Address - Street 1:5033 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-6083
Practice Address - Country:US
Practice Address - Phone:336-661-3058
Practice Address - Fax:336-661-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)