Organization
MYRIAD SUPPORT CENTER INCORPORATED
Active
Parent organization
SURRENT CAPITAL INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURRENT CAPITAL INCORPORATED
Authorized official
MR. YUSSEF LATEEF GILKEY (EXECUTIVE DIRECTOR)
(336) 896-2550
Entity
Organization
Contact information
Practice address
3500 VEST MILL RD, SUITE 9, WINSTON SALEM, NC 27103-2978
(336) 896-2550
(336) 217-8009
Mailing address
3500 VEST MILL RD, SUITE 9, WINSTON SALEM, NC 27103-2978
(336) 890-2550
(336) 217-8009
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
07/08/2008
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