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Organization
PEER SUPPORT NC
Active
Organization
PEER SUPPORT NC
Active
Other names
Peer Support NC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEON DEVONTE BREEDEN LSCWA (DIRECTOR)
(704) 386-8651
Entity
Organization
Contact information
Practice address
1712 S LAFAYETTE ST, SHELBY, NC 28152-7151
(704) 492-1533
Mailing address
5502 MCCHESNEY DR, CHARLOTTE, NC 28269-7188
(704) 492-5509
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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