Provider Demographics
NPI:1093195737
Name:WILLIAMS HOUSE HUMAN SERVICES COALITION, INC.
Entity Type:Organization
Organization Name:WILLIAMS HOUSE HUMAN SERVICES COALITION, INC.
Other - Org Name:WILLIAMS HOUSE TRANSITIONAL HOUSING PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEWTON
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-509-5736
Mailing Address - Street 1:8136 BROWNE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1101
Mailing Address - Country:US
Mailing Address - Phone:704-509-5736
Mailing Address - Fax:704-509-5736
Practice Address - Street 1:8136 BROWNE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-1101
Practice Address - Country:US
Practice Address - Phone:704-509-5736
Practice Address - Fax:704-509-5736
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIAMS HOUSE HUMAN SERVICES COALITION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60002874OtherDAYCARE LICENSE