Provider Demographics
NPI:1376779595
Name:MEN OF HONOR 1 INC.
Entity type:Organization
Organization Name:MEN OF HONOR 1 INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DRUMWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-202-3329
Mailing Address - Street 1:1914 GREENSTONE PL
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1413
Mailing Address - Country:US
Mailing Address - Phone:336-905-7455
Mailing Address - Fax:336-905-7455
Practice Address - Street 1:1914 GREENSTONE PL
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1413
Practice Address - Country:US
Practice Address - Phone:336-905-7455
Practice Address - Fax:336-905-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children