| James And Akemi Mcgoogan | |
|
301 Mccullough Dr Ste 400 Charlotte NC 28262-1336 | |
| (470) 296-3139 | |
| Not Available |
| Full Name | James And Akemi Mcgoogan |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 Mccullough Dr Ste 400, Charlotte, North Carolina |
| Authorized Official Name and Position | James C. Mcgoogan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9102243562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James And Akemi Mcgoogan 2958 Deep Cove Dr Nw Concord NC 28027-2522 Ph: (910) 224-3562 | James And Akemi Mcgoogan 301 Mccullough Dr Ste 400 Charlotte NC 28262-1336 Ph: (470) 296-3139 |
| NPI Number | 1255944690 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 01/06/2021 |
| Certification Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255944690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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