Organization
THOMPSON CHILD AND FAMILY FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH PORRAS KANTROWITZ (ACCOUNTS RECEIVABLE)
(704) 536-0375
Entity
Organization
Contact information
Practice address
2200 E 7TH ST, CHARLOTTE, NC 28204-3340
(704) 376-7180
(704) 375-0903
Mailing address
6800 SAINT PETERS LN, MATTHEWS, NC 28105-8458
(704) 536-0375
(704) 531-9266
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343410023
—
NC
Enumeration date
08/30/2010
Last updated
11/09/2017
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