Organization
LOTHEL WATSON FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOTHEL WATSON (OWNER)
(704) 492-0406
Entity
Organization
Contact information
Practice address
3072 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-1405
(704) 784-2273
(704) 932-8493
Mailing address
3072 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-1405
(704) 784-2273
(704) 932-8493
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
02/28/2007
Last updated
06/30/2008
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