Healthcare Provider Details

I. General information

NPI: 1881151249
Provider Name (Legal Business Name): HANDS CENTER FOR AUTISM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2019
Last Update Date: 02/14/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 TALS ROCK WAY SUITE 3
CARY NC
27519-1906
US

IV. Provider business mailing address

210 TALSROCK WAY STE 3
CARY NC
27519-1906
US

V. Phone/Fax

Practice location:
  • Phone: 727-686-5599
  • Fax:
Mailing address:
  • Phone: 919-745-8892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HASSAN EL-YOUSEF
Title or Position: MEMBER
Credential:
Phone: 727-686-5599