Youth/adult Care Management
NPI #1952487522 in Kannapolis, North Carolina
Provider Information
- NPI Number
- 1952487522
- Entity Type
- Organization
- Organization Name
- Youth/adult Care Management
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1605 OLD EARNHARDT RD
- City
- Kannapolis
- State
- North Carolina
- ZIP Code
- 28083-8025
- Phone
- (704) 933-3505
Authorized Official
- Name
- MR. CHON BLACK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (704) 933-3505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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