Organization
JOHARI FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOY INNISS (EXECUTIVE DIRECTOR)
(910) 897-3000
Entity
Organization
Contact information
Practice address
511 MIDDLE RD, FAYETTEVILLE, NC 28312-5207
(910) 897-3000
Mailing address
511 MIDDLE RD, FAYETTEVILLE, NC 28312-5207
(910) 897-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/02/2009
Last updated
07/10/2014
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