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Organization
OASIS CLINICAL CARE MANAGEMENT, LLC
Active
Organization
OASIS CLINICAL CARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN ROACH (ADMIN)
(704) 536-8381
Entity
Organization
Contact information
Practice address
6101 IDLEWILD RD, SUITE 127, CHARLOTTE, NC 28212-0517
(704) 536-8381
(704) 536-8383
Mailing address
1501 N CHARLOTTE AVE, MONROE, NC 28110-2525
(704) 536-8381
(704) 536-8383
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6005982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302530B
—
NC
05
—
8302530G
—
NC
05
—
8302530H
—
NC
Enumeration date
03/27/2009
Last updated
03/27/2009
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