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Organization

ELON HOMES AND SCHOOLS FOR CHILDREN

Active
Other names
Kids Central of the Carolinas, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAMILAH MCPHAIL MCKISSICK PH.D (CLINICAL DIRECTOR)
(704) 369-2502
Entity
Organization

Contact information

Practice address
3801 BEATTIES FORD RD, CHARLOTTE, NC 28216-3215
(704) 716-6521
Mailing address
1717 SHARON RD W, CHARLOTTE, NC 28210-5663
(704) 369-2502

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NC

Other

Enumeration date
05/01/2013
Last updated
05/01/2013
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