Organization Name: | PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC |
NPI Number: | 1780052522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRESTON SCOTT MARTIN (CEO) |
Mailing Address: | 241 Grant St West End |
State: | NC US |
Postal Code: | 273768377 |
Phone Number: | 9106736565 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2015 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |