Organization
IMPACT HEALTHCARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JERMAINE CRUMP (OWNER/EXECUTIVE DIRECTOR)
(980) 475-4730
Entity
Organization
Contact information
Practice address
1411 HIGHFIELD CT, CHARLOTTE, NC 28216-1827
(980) 475-4730
Mailing address
1411 HIGHFIELD CT, CHARLOTTE, NC 28216-1827
(980) 475-4730
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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