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Organization
PROCURE THERAPEUTIC AGENCY, INC
Active
Organization
PROCURE THERAPEUTIC AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DEWAYNE FRIERSON JR. (OWNER/CEO)
(704) 910-1122
Entity
Organization
Contact information
Practice address
2301 W MOREHEAD ST, SUITE B, CHARLOTTE, NC 28208-5271
(704) 910-1122
(704) 910-1139
Mailing address
PO BOX 620157, CHARLOTTE, NC 28262-0102
(704) 910-1122
(704) 910-1139
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410183
—
NC
05
—
5915392
—
NC
05
—
6008198
—
NC
05
—
8302580
—
NC
Enumeration date
11/19/2008
Last updated
05/13/2019
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