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Organization
INSTITUTE OF PURPOSE
Active
Organization
INSTITUTE OF PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD NISSEN LCSW (PRESIDENT)
(800) 878-1950
Entity
Organization
Contact information
Practice address
11433 BAYSTONE PL, CONCORD, NC 28025-9107
(601) 624-2437
Mailing address
11433 BAYSTONE PL, CONCORD, NC 28025-9107
(601) 624-2437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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