Provider Demographics
NPI:1053599589
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:MS
Authorized Official - First Name:CONTESSA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:STRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-254-1805
Mailing Address - Street 1:3719 W MARKET ST
Mailing Address - Street 2:SUITE C.
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1588
Mailing Address - Country:US
Mailing Address - Phone:336-510-4969
Mailing Address - Fax:
Practice Address - Street 1:7 ARBOR CROSSING CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-3735
Practice Address - Country:US
Practice Address - Phone:336-358-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-041-858322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children