Embrenche LLC
NPI #1033291893 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1033291893
- Entity Type
- Organization
- Organization Name
- Embrenche LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Dec 19, 2007
Practice Location
- Address
- 2070 CLOVERDALE DR
- Address 2
- SUITES A&B
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27103-2624
- Phone
- (336) 722-8055
Authorized Official
- Name
- MR. MARTY HICKMAN
- Title
- DIRECTOR
- Phone
- (336) 722-8055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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