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Organization
ESCAPE MENTORING
Active
Organization
ESCAPE MENTORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE T BREWER LCMHC (OWNER)
(704) 495-4379
Entity
Organization
Contact information
Practice address
2404 WILDBURNE CT, CHARLOTTE, NC 28262-9220
(704) 495-4379
Mailing address
2404 WILDBURNE CT, CHARLOTTE, NC 28262-9220
(704) 495-4379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
Other
Enumeration date
10/09/2026
Last updated
10/09/2026
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