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Organization
THOMPSON CHILD AND FAMILY FOCUS
Active
Organization
THOMPSON CHILD AND FAMILY FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY MATTHEW THOMAS (DIRECTOR OF IT)
(704) 536-0375
Entity
Organization
Contact information
Practice address
769 N WENDOVER RD, CHARLOTTE, NC 28211
(704) 376-7180
(704) 376-0903
Mailing address
6800 SAINT PETERS LN, MATTHEWS, NC 28105-8458
(704) 536-0375
(704) 531-9266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
NC
Enumeration date
07/01/2010
Last updated
10/29/2019
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