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Organization
TJS COMMUNITY CARE SERVICES LLC
Active
Organization
TJS COMMUNITY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETISHA JUANITA KELLY (OWNER)
(704) 493-0466
Entity
Organization
Contact information
Practice address
619 N DAVIDSON ST APT 304, CHARLOTTE, NC 28202-1572
(704) 493-0466
Mailing address
619 N DAVIDSON ST APT 304, CHARLOTTE, NC 28202-1572
(704) 493-0466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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