| Overseer, Llc | |
|
1801 N Tryon St Suite 105-b Charlotte NC 28206-2704 | |
| (704) 940-1288 | |
| (704) 940-1287 |
| Full Name | Overseer, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1801 N Tryon St, Charlotte, North Carolina |
| Authorized Official Name and Position | Aba Logan Taylor (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7044901342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overseer, Llc 1801 N Tryon St Suite 105-b Charlotte NC 28206-2704 Ph: (704) 940-1288 | Overseer, Llc 1801 N Tryon St Suite 105-b Charlotte NC 28206-2704 Ph: (704) 940-1288 |
| NPI Number | 1306057112 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306057112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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