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Organization
ONE LOVE COMMUNITY PROGRAM INC.
Active
Organization
ONE LOVE COMMUNITY PROGRAM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA SPIVEY JOHNSON (EXECUTIVE DIRECTOR)
(704) 307-7073
Entity
Organization
Contact information
Practice address
5701 EXECUTIVE CENTER DR, SUITE 350, CHARLOTTE, NC 28212-8862
(704) 567-9800
(866) 577-8514
Mailing address
5701 EXECUTIVE CENTER DR, SUITE 350, CHARLOTTE, NC 28212-8862
(704) 567-9800
(866) 577-8514
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/28/2015
Last updated
03/01/2022
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