| Johari Family Services,llc | |
|
511 Middle Rd Fayetteville NC 28312-5207 | |
| (910) 897-3000 | |
| (910) 897-3004 |
| Full Name | Johari Family Services,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 511 Middle Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Joy Johari Inniss (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9108973000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johari Family Services,llc 511 Middle Rd Fayetteville NC 28312-5207 Ph: (910) 897-3000 | Johari Family Services,llc 511 Middle Rd Fayetteville NC 28312-5207 Ph: (910) 897-3000 |
| NPI Number | 1609051275 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609051275 | NPI | - | NPPES |
| 8302231 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Secondary |
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