Organization
A HERITAGE CHILD NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENDA LENA VINSON-NNAJI LPC (CEO)
(704) 619-3490
Entity
Organization
Contact information
Practice address
808 CIRCLE DR, MONROE, NC 28112-3800
(704) 619-3490
(704) 849-5251
Mailing address
7633 PINEVILLE MATTHEWS RD, BOX 10, CHARLOTTE, NC 28226-3909
(704) 619-3490
(704) 849-5251
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
101YP2500X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275657132
—
NC
05
—
1578734646
—
NC
Enumeration date
02/20/2013
Last updated
02/20/2013
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