NPI 1114764420

New Name Born LLC

Organisation Peer Specialist Charlotte, NC

Practice location

Address: 11124 Front Porch Ave APT 21107, Charlotte, NC 28227-0049
Phone: (704) 777-5710

Authorised official

Name: Cypriel Fidelis Nwafor
Title: Ceo
Phone: (704) 777-5710

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in North Carolina →

Registry record

NPI: 1114764420
Entity type: Organization
NPI issued: 12 Jul 2024
Record last updated: 31 Jul 2024

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.