| N Phases | |
|
6407 Tyvola Glen Circle Ste 235 Charlotte NC 28217-6436 | |
| (980) 745-7588 | |
| Not Available |
| Full Name | N Phases |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6407 Tyvola Glen Circle Ste 235, Charlotte, North Carolina |
| Authorized Official Name and Position | Wyvonnea Denise Rios (OWNER) |
| Authorized Official Contact | 9807457588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N Phases 6047 Tyvola Glen Cir Ste 235 Charlotte NC 28217-6436 Ph: (980) 745-7588 | N Phases 6407 Tyvola Glen Circle Ste 235 Charlotte NC 28217-6436 Ph: (980) 745-7588 |
| NPI Number | 1568143477 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568143477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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