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Organization
RENEWED VISION FAMILY, COMMUNITY AND MENTAL HEALTH SERVICES
Active
Organization
RENEWED VISION FAMILY, COMMUNITY AND MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA GREEN P-LCSW (CHIEF EXECUTIVE OFFICER)
(347) 645-8375
Entity
Organization
Contact information
Practice address
9700 RESEARCH DR STE 138, CHARLOTTE, NC 28262-8585
(704) 726-0018
Mailing address
5438 CRISFIELD RD, CHARLOTTE, NC 28269-0152
(704) 596-0940
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
05/05/2009
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