Organization
UNITED FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K JORDAN LCSW (VP, CLINICAL SERVICES)
(704) 367-2750
Entity
Organization
Contact information
Practice address
9624 BAILEY ROAD,, SUITE 290, CORNELIUS, NC 28031-6120
(704) 655-8745
(704) 655-0234
Mailing address
9624 BAILEY ROAD,, SUITE 290, CORNELIUS, NC 28031-6120
(704) 655-8745
(704) 655-0234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005756
—
NC
Enumeration date
02/18/2009
Last updated
02/18/2009
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