Organization
HEAD INJURY CENTER OF CHARLOTTE, INC.
Active
Other names
Carolina NeuroServices
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER JEFFREY EWERT PH. D. (PRESIDENT)
(704) 366-9930
Entity
Organization
Contact information
Practice address
6853 FAIRVIEW RD, SUITE B, CHARLOTTE, NC 28210-3363
(704) 366-9930
Mailing address
6853 FAIRVIEW RD, STE B, CHARLOTTE, NC 28210-3363
(704) 366-9930
(704) 366-9931
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2005
Last updated
09/25/2009
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