PERRY TANIS WATKINS

CHARLOTTE, NC
NPI1659555183
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: NC  MHL-081-074)
Enumeration Date2007-12-19
Last Update Date2007-12-19
Business Address
-- PERRY TANIS WATKINS MPA
6120 CARRIAGE OAKS DR
CHARLOTTE, NC 28262-3253
Phone number: 704-506-6888
Mailing Address
-- PERRY TANIS WATKINS MPA
PO BOX 217125
CHARLOTTE, NC 28221-0125
Phone number: 704-506-6888
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