Organization
ALISAHA'S HOME CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE HARDEN (CEO/MANAGER)
(704) 957-1846
Entity
Organization
Contact information
Practice address
8221 AINSWORTH ST, CHARLOTTE, NC 28216-3693
(704) 957-1846
(704) 599-2915
Mailing address
8221 AINSWORTH ST, CHARLOTTE, NC 28216-3693
(704) 957-1846
(704) 599-2915
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
192299
NC
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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