Organization Name: | HEAVENLY HANDS FAMILY SERVICES |
NPI Number: | 1326203159 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VINCENT MITCHELL (CEO) |
Mailing Address: | 4614 Wilgrove Mint Hill Rd Mint Hill |
State: | NC US |
Postal Code: | 282273500 |
Phone Number: | 7047632318 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2008 |
NPI Last Update Date: | 07/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |