Walter Jason Young Jr., QP
Walter Jason Young Jr., QP is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2019
Practice location Address checks out
412 Rook RdCharlotte, NC 28216-3199
Phone: (704) 713-5293
Fax: (980) 207-4791
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL-060-1441 (NC) |
|---|
Record details
| NPI number | 1881230795 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | QP |
| Sole proprietor | Yes |
| NPI enumerated | November 26, 2019 |
| Last updated in NPPES | March 9, 2020 |
| Certification date | March 9, 2020 |
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