Provider Demographics
NPI:1679762280
Name:METRO LIFE & HUMAN SERVICES, INC
Entity Type:Organization
Organization Name:METRO LIFE & HUMAN SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:704-494-3007
Mailing Address - Street 1:PO BOX 475
Mailing Address - Street 2:
Mailing Address - City:NEWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28126-0475
Mailing Address - Country:US
Mailing Address - Phone:704-494-3007
Mailing Address - Fax:
Practice Address - Street 1:6238 KING GEORGE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-6455
Practice Address - Country:US
Practice Address - Phone:704-494-3007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health