Organization
I AM WHOLE
Active
Other names
I AM WHOLE
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA CATRICE WILLIAMS (CEO/PRESIDENT)
(704) 957-3901
Entity
Organization
Contact information
Practice address
2412 NETTLETON CT, MATTHEWS, NC 28105-3216
(704) 957-3901
(704) 708-5726
Mailing address
2412 NETTLETON CT, MATTHEWS, NC 28105-3216
(704) 957-3901
(704) 708-5726
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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