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Organization
PROFESSIONAL BEHAVIOR INNOVATIONS
Active
Organization
PROFESSIONAL BEHAVIOR INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILSON FORD (CEO/DIRECTOR)
(704) 614-0977
Entity
Organization
Contact information
Practice address
9711 STEWART SPRING LN, CHARLOTTE, NC 28216-1857
(704) 614-0977
Mailing address
9711 STEWART SPRING LN, CHARLOTTE, NC 28216-1857
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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