Organization
JOHARI FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY INNISS (CEO)
(843) 501-0120
Entity
Organization
Contact information
Practice address
800 LEGION ST, SUITE 100-C, CONWAY, SC 29526-4825
(843) 501-0120
Mailing address
511 MIDDLE RD, FAYETTEVILLE, NC 28312-5207
(910) 897-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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