Provider Demographics
NPI:1316179443
Name:HANDS ON OUR FUTURE (CBS) SERVICES FOR YOUTH INCORPROATED
Entity Type:Organization
Organization Name:HANDS ON OUR FUTURE (CBS) SERVICES FOR YOUTH INCORPROATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-369-9319
Mailing Address - Street 1:8323 PACES OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28023
Mailing Address - Country:US
Mailing Address - Phone:704-369-9319
Mailing Address - Fax:
Practice Address - Street 1:330 NEELY TOWN RD
Practice Address - Street 2:
Practice Address - City:CHINA GROVE
Practice Address - State:NC
Practice Address - Zip Code:28023-9479
Practice Address - Country:US
Practice Address - Phone:704-369-9319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)