Organization
INFINITY BEHAVIORAL AND DEVELOPMENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEARL LAVERN GRIFFIN MA, LCASA (EXECUTIVE DIRECTOR)
(919) 685-5996
Entity
Organization
Contact information
Practice address
7003 WALLACE RD, SUITE 100, CHARLOTTE, NC 28212-6815
(919) 685-5996
Mailing address
7003 WALLACE RD, SUITE 100, CHARLOTTE, NC 28212-6815
(919) 685-5996
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/14/2016
Last updated
04/19/2017
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