Organization
CARTER CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLEME OJINGA HARRISON (CEO)
(919) 848-0132
Entity
Organization
Contact information
Practice address
207 S BROAD ST, MOORESVILLE, NC 28115-3500
(919) 848-0132
Mailing address
4009 BARRETT DR STE 102, RALEIGH, NC 27609-6616
(919) 848-0132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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