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Organization
KATRINA RENEES SAFE PLACE LLC
Active
Organization
KATRINA RENEES SAFE PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA R. BRYANT MS, LCAS (OWNER)
(704) 352-8043
Entity
Organization
Contact information
Practice address
5017 ELIZABETH RD, CHARLOTTE, NC 28269-4534
(704) 352-8043
Mailing address
1213 W MOREHEAD ST, CHARLOTTE, NC 28208-5576
(704) 325-8336
(704) 325-8356
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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