| Youth/adult Care Management | |
|
1605 Old Earnhardt Rd Kannapolis NC 28083-8025 | |
| (704) 933-3505 | |
| Not Available |
| Full Name | Youth/adult Care Management |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1605 Old Earnhardt Rd, Kannapolis, North Carolina |
| Authorized Official Name and Position | Chon Black (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7049333505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth/adult Care Management Po Box 1013 Concord NC 28026-1013 Ph: (704) 933-3505 | Youth/adult Care Management 1605 Old Earnhardt Rd Kannapolis NC 28083-8025 Ph: (704) 933-3505 |
| NPI Number | 1952487522 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952487522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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