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Organization
VIRTUE, INC.
Active
Organization
VIRTUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LA'SHELL CLARK (ADMINISTRATOR)
(704) 258-3846
Entity
Organization
Contact information
Practice address
3387 E HIGHWAY 150, LINCOLNTON, NC 28092-8144
(704) 568-1490
Mailing address
PO BOX 35492, CHARLOTTE, NC 28235-5492
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL0601201
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205112083
—
NC
Enumeration date
10/25/2011
Last updated
09/04/2019
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