Detached Fathers and Mothers

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DETACHED FATHERS AND MOTHERS

Practice address

312 W Trade St
Charlotte, NC 28202-1557

Phone

(704) 930-3994

NPI assigned

Jun 4, 2008

Last updated

Jun 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ryan Scott Saunders

Title

Owner/Ceo

Phone

(704) 930-3994

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1316106495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 UNIVERSITY RIDGE DR",
            "address_2": "UNIT 108",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134114",
            "telephone_number": "704-930-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W TRADE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021557",
            "telephone_number": "704-930-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETACHED FATHERS AND MOTHERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "704-930-3994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.