Organization
SCHOLAR ATHLETICS
Active
Other names
Scholar Athletics Youth Empowerment Network
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK B NIX SR. (PRESIDENT)
(704) 594-1307
Entity
Organization
Contact information
Practice address
4348 TRIPLE CROWN DR SW STE A, CONCORD, NC 28027-8925
(704) 594-1307
Mailing address
4348 TRIPLE CROWN DR SW STE A, CONCORD, NC 28027-8925
(704) 594-1307
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
08/24/2017
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