| 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 Community/Behavioral Health | |
| 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 |