| Scholar Athletics Youth Empowerment Network | |
|
4348 Triple Crown Dr Sw Ste A Concord NC 28027-8925 | |
| (704) 594-1307 | |
| Not Available |
| Full Name | Scholar Athletics Youth Empowerment Network |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4348 Triple Crown Dr Sw Ste A, Concord, North Carolina |
| Authorized Official Name and Position | Derrick B Nix (PRESIDENT) |
| Authorized Official Contact | 7045941307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scholar Athletics Youth Empowerment Network 4348 Triple Crown Dr Sw Ste A Concord NC 28027-8925 Ph: (704) 594-1307 | Scholar Athletics Youth Empowerment Network 4348 Triple Crown Dr Sw Ste A Concord NC 28027-8925 Ph: (704) 594-1307 |
| NPI Number | 1295268290 |
|---|---|
| Provider Enumeration Date | 04/06/2017 |
| Last Update Date | 08/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295268290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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