Provider Demographics
NPI:1730385386
Name:PICASO INC
Entity type:Organization
Organization Name:PICASO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-830-1660
Mailing Address - Street 1:PO BOX 8685
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27835
Mailing Address - Country:US
Mailing Address - Phone:252-830-1660
Mailing Address - Fax:252-757-0654
Practice Address - Street 1:609 COUNTRY CLUB DRIVE
Practice Address - Street 2:SUITE D
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-830-1660
Practice Address - Fax:252-757-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management