Organization
2ND II NONE FOUNDATION
Active
Other names
Maturing Young Minds Children and Family Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO ANN HARRIS GUY (CHIEF EXECUTIVE OFFICER)
(704) 780-4608
Entity
Organization
Contact information
Practice address
5820 E WT HARRIS BLVD STE 111, CHARLOTTE, NC 28215-3604
(704) 566-6134
(705) 566-6136
Mailing address
PO BOX 481972, CHARLOTTE, NC 28269-5331
(704) 780-4608
(704) 780-1079
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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