Provider Demographics
NPI:1306353248
Name:FAMILIES UNITED
Entity type:Organization
Organization Name:FAMILIES UNITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMINA
Authorized Official - Middle Name:K A
Authorized Official - Last Name:HAQQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-728-5068
Mailing Address - Street 1:6610 HARBURN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-6912
Mailing Address - Country:US
Mailing Address - Phone:704-728-5068
Mailing Address - Fax:
Practice Address - Street 1:6610 HARBURN FOREST DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-6912
Practice Address - Country:US
Practice Address - Phone:704-728-5068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-31
Last Update Date:2017-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness