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Organization
CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT, INC
Active
Organization
CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT, INC
Active
Other names
CTSCD, CAROLINA THERAPEUTIC SERVICES COMMUNITY DEVELOPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE SUTTON (CEO)
(704) 864-1477
Entity
Organization
Contact information
Practice address
4521 W DIVERSEY AVE, CHICAGO, IL 60639-1925
(773) 360-1389
Mailing address
1528 UNION RD, GASTONIA, NC 28054-2200
(704) 864-1477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/17/2023
Last updated
06/10/2024
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