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Organization
ON A MISSION, LLC
Active
Organization
ON A MISSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA WILSON (OWNER/ORGANIZER)
(980) 925-3872
Entity
Organization
Contact information
Practice address
3601 CREEKSIDE DR, GASTONIA, NC 28056-7118
(980) 925-3872
Mailing address
3601 CREEKSIDE DR, GASTONIA, NC 28056-7118
(980) 925-3872
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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