Organization
GOOD WORKS YOUTH AND ADULT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LA TANYA D HARDY MBA, QP (EXECUTIVE DIRECTOR, OWNER)
(704) 780-8713
Entity
Organization
Contact information
Practice address
4919 ALBEMARLE RD, SUITE 200, CHARLOTTE, NC 28205-6683
(704) 405-1251
(704) 405-1254
Mailing address
4919 ALBEMARLE RD, SUITE 200, CHARLOTTE, NC 28205-6683
(704) 405-1251
(704) 405-1254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301753
—
NC
Enumeration date
02/07/2007
Last updated
08/22/2020
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