Provider Demographics
NPI:1215246376
Name:URBAN HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:URBAN HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:GRIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:704-858-7890
Mailing Address - Street 1:755 S MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-3238
Mailing Address - Country:US
Mailing Address - Phone:704-858-7890
Mailing Address - Fax:
Practice Address - Street 1:755 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3238
Practice Address - Country:US
Practice Address - Phone:704-858-7890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management