NPI | 1043778855 |
---|---|
Doing Business As | KRIS WILLIAMS-FALCON |
Entity Type | Organization |
Authorized Contact | KRIS FALCON Owner An Provider 910-248-9180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
282J00000X Religious Nonmedical Health Care Institution | |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
324500000X Substance Abuse Rehabilitation Facility | |
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians | |
251B00000X Case Management | |
251E00000X Home Health | |
251S00000X | |
261QC1500X Clinic/Center, Community Health | |
261QH0100X Clinic/Center, Health Services | |
332900000X Non-Pharmacy Dispensing Site | |
Enumeration Date | 2019-03-11 |
Last Update Date | 2021-10-19 |