| Center Fo Emotional Health | |
|
280 Executive Park Dr Suite 100 Concord NC 28025-1837 | |
| (704) 785-8282 | |
| (704) 785-8304 |
| Full Name | Center Fo Emotional Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychosomatic Medicine |
| Location | 280 Executive Park Dr, Concord, North Carolina |
| Authorized Official Name and Position | Jonathan K Stoudmire (PRESIDENT/OWNER) |
| Authorized Official Contact | 7046995296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Fo Emotional Health 280 Executive Park Dr Suite 100 Concord NC 28025-1837 Ph: () - | Center Fo Emotional Health 280 Executive Park Dr Suite 100 Concord NC 28025-1837 Ph: (704) 785-8282 |
| NPI Number | 1215346440 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215346440 | NPI | - | NPPES |
| 5900927 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 200500827 (North Carolina) | Primary |
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