Organization
EACH ONE TEACH TWO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ADAMS (OWNER)
(704) 661-4311
Entity
Organization
Contact information
Practice address
401 HAWTHORNE LN STE 110-224, CHARLOTTE, NC 28204-2484
(704) 661-4311
Mailing address
215 N PINE ST UNIT 3304, CHARLOTTE, NC 28202-2496
(704) 661-4311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/17/2019
Last updated
09/18/2019
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