| Impact Healthcare Solutions Llc | |
|
1411 Highfield Ct Charlotte NC 28216-1827 | |
| (980) 475-4730 | |
| Not Available |
| Full Name | Impact Healthcare Solutions Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1411 Highfield Ct, Charlotte, North Carolina |
| Authorized Official Name and Position | Kenneth Jermaine Crump (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9804754730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Healthcare Solutions Llc 1411 Highfield Ct Charlotte NC 28216-1827 Ph: (980) 475-4730 | Impact Healthcare Solutions Llc 1411 Highfield Ct Charlotte NC 28216-1827 Ph: (980) 475-4730 |
| NPI Number | 1518344217 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518344217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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