Provider Demographics
NPI:1275658031
Name:WOTP PROGRAMS, INC.
Entity Type:Organization
Organization Name:WOTP PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:704-648-6515
Mailing Address - Street 1:1100 HARDING PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2825
Mailing Address - Country:US
Mailing Address - Phone:704-307-4239
Mailing Address - Fax:
Practice Address - Street 1:1100 HARDING PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2825
Practice Address - Country:US
Practice Address - Phone:704-307-4239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8301429Medicaid
NC8301429VMedicaid
NC5914959Medicaid
NC6008056Medicaid
NC8301429IMedicaid
NC8301429GMedicaid
NC8301429HMedicaid