Organization
CENTER FOR EMOTIONAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN K STOUDMIRE M.D. (PRESIDENT/OWNER)
(704) 237-4240
Entity
Organization
Contact information
Practice address
640 SUMMIT CROSS PLACE, SUITE 203, GASTONIA, NC 28054
(704) 237-4240
Mailing address
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1838
(704) 237-4240
(704) 841-3889
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
200500827
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900927
—
NC
Enumeration date
08/14/2014
Last updated
09/24/2021
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