Organization
GOYAHKLA PEER SUPPORT SERVICES L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY ALLEN HUNT PHD, CPSS (OWNER)
(704) 222-0633
Entity
Organization
Contact information
Practice address
4224 GLENLEA COMMONS DR, CHARLOTTE, NC 28216-9519
(704) 222-0633
Mailing address
4224 GLENLEA COMMONS DR, CHARLOTTE, NC 28216-9519
(704) 222-0633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
V2015-1284-01
NC
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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