| Organization Name: | TWIN CITY BOXING & FITNESS CLUB |
| NPI Number: | 1164892980 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLETTE V EWELL (OWNER) |
| Mailing Address: | 1316 Winfield Dr Winston Salem |
| State: | NC US |
| Postal Code: | 271051947 |
| Phone Number: | 3363916123 |
| Fax Number: | 3368961729 |
| NPI Enumeration Date: | 10/06/2015 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Case Management |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |