Provider Demographics
NPI:1356623722
Name:THERAPEUTIC INTERVENTION SERVICES, INC
Entity type:Organization
Organization Name:THERAPEUTIC INTERVENTION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-425-4698
Mailing Address - Street 1:2862 LAURIE MEADOWS WAY
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9386
Mailing Address - Country:US
Mailing Address - Phone:800-425-4698
Mailing Address - Fax:
Practice Address - Street 1:2862 LAURIE MEADOWS WAY
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9386
Practice Address - Country:US
Practice Address - Phone:800-425-4698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health