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Organization
SUNPATH LLC
Active
Organization
SUNPATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALONZO MORROW II (PROGRAM DIRECTOR)
(704) 478-6093
Entity
Organization
Contact information
Practice address
415 W MAIN AVE, GASTONIA, NC 28052-3844
(704) 478-6093
Mailing address
PO BOX 864, GASTONIA, NC 28053-0864
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006091
—
NC
05
—
8300453
—
NC
05
—
8300453B
—
NC
05
—
8300453F
—
NC
05
—
8300453G
—
NC
05
—
8300453H
—
NC
Enumeration date
11/10/2006
Last updated
07/08/2008
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