Organization
HEAD INJURY CENTER OF CHARLOTTE, INC.
Active
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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