Head Injury Center of Charlotte, Inc.

NPI #1780684522 in Charlotte, North Carolina

Provider Information

NPI Number
1780684522
Entity Type
Organization
Organization Name
Head Injury Center of Charlotte, Inc.
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Jul 22, 2005
Last Updated
Sep 25, 2009

Practice Location

Address
6853 FAIRVIEW RD
Address 2
SUITE B
ZIP Code
28210-3363
Phone
(704) 366-9930

Authorized Official

Name
MR. PETER JEFFREY EWERT, PH. D.
Title
PRESIDENT
Phone
(704) 366-9930

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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