| New Haven Family Services #2 | |
|
730 Hawthorne Ln Suite 352 Charlotte NC 28204-2108 | |
| (704) 501-7655 | |
| (704) 665-5715 |
| Full Name | New Haven Family Services #2 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 730 Hawthorne Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Idris Talib (PRESIDENT) |
| Authorized Official Contact | 7045017655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Haven Family Services #2 730 Hawthorne Ln Suite 352 Charlotte NC 28204-2108 Ph: (704) 501-7655 | New Haven Family Services #2 730 Hawthorne Ln Suite 352 Charlotte NC 28204-2108 Ph: (704) 501-7655 |
| NPI Number | 1497036545 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 09/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497036545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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