Organization
JOHARI FAMILY SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOY JOHARI INNISS (CHIEF EXECUTIVE OFFICER)
(910) 897-3000
Entity
Organization
Contact information
Practice address
511 MIDDLE RD, FAYETTEVILLE, NC 28312-5207
(910) 897-3000
(910) 897-3004
Mailing address
511 MIDDLE RD, FAYETTEVILLE, NC 28312-5207
(910) 897-3000
(910) 897-3004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302231
—
NC
Enumeration date
01/02/2008
Last updated
07/21/2022
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