# I AM WHOLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** I AM WHOLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306406905
- **Authorized official:** MONICA CATRICE WILLIAMS (CEO/PRESIDENT)
- **Authorized official phone:** (704) 957-3901

## Contact information

- **Practice address:** 2412 NETTLETON CT, MATTHEWS, NC 28105-3216
- **Practice address phone:** (704) 957-3901
- **Practice address fax:** (704) 708-5726
- **Mailing address:** 2412 NETTLETON CT, MATTHEWS, NC 28105-3216
- **Mailing address phone:** (704) 957-3901
- **Mailing address fax:** (704) 708-5726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 06/17/2019