Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALTER JASON YOUNG JR., QP
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · CHARLOTTE, NC
Registration Details
- NPI Number
- 1881230795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2019 (6.4020598678684 yrs)
- Last Updated
- Mar 9, 2020
- License
-
MHL-060-1441 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 ROOK RDCHARLOTTE, NC, 282163199Browse NC providers · Browse ZIP 28216
- Phone
- 7047135293
- Fax
- 9802074791
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| NANA HINTON | — | 1154818284 |
| MRS. MARSHA DAYMON-ADAMS | PROVIDER | 1578106258 |
| LATESHA GREEN | — | 1972239127 |
| MS. KATRINA RENEE BRYANT | MS, LCAS | 1730960741 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.