Whalio Doctors

NPI 1053528687

Goodwill Industries of the Southern Piedmont INC

Organisation Developmentally Disabled Services Day Training Agency Charlotte, NC

Practice location

Address
2122 Freedom Dr, Charlotte, NC 28208-5154
Phone
(704) 372-3434
Fax
(704) 972-9841
Mailing address
PO Box 668768, Charlotte, NC 28266-8768

Authorised official

Name
Michael J Elder
Title
Chief Executive Officier
Phone
(704) 372-3434

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence MHL 060 016 (NC)

Registry record

NPI
1053528687
Entity type
Organization
NPI issued
16 May 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.