Provider Demographics
NPI:1982739462
Name:EMBRACE US, INC,
Entity Type:Organization
Organization Name:EMBRACE US, INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONTESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-254-1805
Mailing Address - Street 1:5603 DAVID CHRISTIAN PL
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-1930
Mailing Address - Country:US
Mailing Address - Phone:336-254-1805
Mailing Address - Fax:336-547-3968
Practice Address - Street 1:3719 W MARKET ST
Practice Address - Street 2:STE. C.
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1588
Practice Address - Country:US
Practice Address - Phone:336-254-1805
Practice Address - Fax:336-547-3968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3362541805CSOtherCOMM.SPT. PHNE.