# THOMPSON CHILD AND FAMILY FOCUS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194962548
- **Authorized official:** MARY ELIZABETH PORRAS KANTROWITZ (ACCOUNTS RECEIVABLE)
- **Authorized official phone:** (704) 536-0375

## Contact information

- **Practice address:** 769 N WENDOVER RD, CHARLOTTE, NC 28211-1118
- **Practice address phone:** (704) 536-0375
- **Practice address fax:** (704) 531-9266
- **Mailing address:** 6800 SAINT PETERS LN, MATTHEWS, NC 28105-8458
- **Mailing address phone:** (704) 536-0375
- **Mailing address fax:** (704) 531-9266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 12/13/2017
