# N PHASES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568143477
- **Authorized official:** WYVONNEA DENISE RIOS (OWNER)
- **Authorized official phone:** (980) 745-7588

## Contact information

- **Practice address:** 6407 TYVOLA GLEN CIRCLE STE 235, CHARLOTTE, NC 28217-6436
- **Practice address phone:** (980) 745-7588
- **Mailing address:** 6047 TYVOLA GLEN CIR STE 235, CHARLOTTE, NC 28217-6436
- **Mailing address phone:** (980) 745-7588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2023
- **Last updated:** 08/03/2023