Young, Walter Jason

Young, Walter Jason is an sole proprietor health care provider with primary practice located at 412 Rook Rd , Charlotte NC 28216-3199. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Young, Walter Jason can be contacted via phone (704) 713-5293.

Contact Information

Primary practice address
412 Rook Rd Charlotte NC 28216-3199
Phone: (704) 713-5293
Fax: (980) 207-4791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-060-1441 North Carolina

Profile Details

NPI number 1881230795
LBN Legal business name Young, Walter Jason
Credentials QP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2019
Last updated Mar 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers