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Organization
SELF HEALING EMPOWERMENT LLC
Active
Organization
SELF HEALING EMPOWERMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYNTHI'A F PENN (ADMINISTRATOR)
(336) 749-2101
Entity
Organization
Contact information
Practice address
9635 SOUTHERN PINE BLVD STE 146, CHARLOTTE, NC 28273-5564
(336) 749-2101
Mailing address
9635 SOUTHERN PINE BLVD STE 146, CHARLOTTE, NC 28273-5564
(336) 257-5021
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
10/08/2024
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