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Organization
PULSE SPORTZ FOUNDATION INC
Active
Organization
PULSE SPORTZ FOUNDATION INC
Active
Parent organization
PULSESPORTZ FOUNDATION INC
Other names
brighter tomorrow
Organization subpart
Yes
Provider details
NPI number
Legal business name
PULSESPORTZ FOUNDATION INC
Authorized official
RYAN SMITH (PRES.)
(704) 496-0501
Entity
Organization
Contact information
Practice address
818 FRIENDLY PL, CHARLOTTE, NC 28213-5800
(704) 496-0501
Mailing address
818 FRIENDLY PL, CHARLOTTE, NC 28213-5800
(704) 496-0501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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