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Organization
MCIVERS ADULT & YOUTH SERVICES LLC
Active
Organization
MCIVERS ADULT & YOUTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND MAURICE MCIVER (CEO)
(704) 967-9826
Entity
Organization
Contact information
Practice address
4822 ALBEMARLE RD STE 103B, CHARLOTTE, NC 28205-6668
(980) 207-0072
Mailing address
4822 ALBEMARLE RD STE 103B, CHARLOTTE, NC 28205-6668
(980) 207-0072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/07/2021
Last updated
03/25/2022
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