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Organization
PERSONALIZED THERAPY, INC.
Active
Organization
PERSONALIZED THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE SAYERS MARTIN (QA/QI DIRECTOR)
(252) 353-4968
Entity
Organization
Contact information
Practice address
1226 MANN DR, SUITE 100, MATTHEWS, NC 28105-5532
(704) 846-1625
(704) 846-1635
Mailing address
925 CONFERENCE DR, SUITE B, GREENVILLE, NC 27858-5971
(252) 353-4968
(252) 353-4967
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301790
—
NC
05
—
8301790B
—
NC
05
—
8301790G
—
NC
Enumeration date
02/11/2008
Last updated
09/03/2009
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