| Good Works Youth And Adult Services, Inc. | |
|
4919 Albemarle Rd Suite 200 Charlotte NC 28205-6683 | |
| (704) 405-1251 | |
| (704) 405-1254 |
| Full Name | Good Works Youth And Adult Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4919 Albemarle Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | La Tanya D Hardy (EXECUTIVE DIRECTOR, OWNER) |
| Authorized Official Contact | 7047808713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Works Youth And Adult Services, Inc. 4919 Albemarle Rd Suite 200 Charlotte NC 28205-6683 Ph: (704) 405-1251 | Good Works Youth And Adult Services, Inc. 4919 Albemarle Rd Suite 200 Charlotte NC 28205-6683 Ph: (704) 405-1251 |
| NPI Number | 1588704589 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588704589 | NPI | - | NPPES |
| 8301753 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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