Provider Demographics
NPI:1477242915
Name:VOSG HOLDINGS
Entity Type:Organization
Organization Name:VOSG HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MDIV, DMIN
Authorized Official - Phone:336-979-4003
Mailing Address - Street 1:7220 BEDFORDSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-7616
Mailing Address - Country:US
Mailing Address - Phone:336-979-4003
Mailing Address - Fax:
Practice Address - Street 1:7220 BEDFORDSHIRE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-7616
Practice Address - Country:US
Practice Address - Phone:336-979-4003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health