| Sankofa 34 Mens Healing Hub | |
|
1914 Brunswick Ave Ste 1b Charlotte NC 28207-1891 | |
| (704) 281-6356 | |
| (910) 973-0257 |
| Full Name | Sankofa 34 Mens Healing Hub |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1914 Brunswick Ave Ste 1b, Charlotte, North Carolina |
| Authorized Official Name and Position | Derwin Samuel Isaiah (OWNER) |
| Authorized Official Contact | 7042816356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sankofa 34 Mens Healing Hub 1914 Brunswick Ave Ste 1b Charlotte NC 28207-1891 Ph: (704) 281-6356 | Sankofa 34 Mens Healing Hub 1914 Brunswick Ave Ste 1b Charlotte NC 28207-1891 Ph: (704) 281-6356 |
| NPI Number | 1427814383 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427814383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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