Impact

NPI 1194973586 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1194973586
Enumeration Date 08/28/2008
Last Updated 08/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JOSEPH JOSEPH
Position CEO
Phone (704) 718-3480
Fax (704) 852-4488
Practice Location
3080 JAMESTOWN DR
GASTONIA NC, 28054-6056, US
Phone (704) 718-3480
Fax (704) 852-4488
Business Location
3080 JAMESTOWN DR
GASTONIA NC, 28054-6056, US
Phone (704) 718-3480
Fax (704) 852-4488
Toxanomy
Taxonomy Code 251S00000X
License State North Carolina
License Number 795
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According to our database, Impact NPI is 1194973586, taxonomy code is 251S00000X and license number is 795, license state is located at North Carolina. Impact physically located at 3080 Jamestown Dr, Gastonia NC, 28054-6056. NPI Number 1033115704 has the healthcare provider type.

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1194973586 NPI number is provided on an as is basis without warranty of any kind. 1194973586 is maintained by the National Plan & Provider Enumeration System. The contents of Impact are for informational purposes only.