# DIXON & MATHEW GROUP LLC

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

## Provider details

- **NPI number:** 1679178362
- **Authorized official:** MR. DEWITT DIXON III (COO)
- **Authorized official phone:** (704) 840-5662

## Contact information

- **Practice address:** 6823 WAGON OAK RD, CHARLOTTE, NC 28212-8580
- **Practice address phone:** (704) 840-5662
- **Mailing address:** 6823 WAGON OAK RD, CHARLOTTE, NC 28212-8580
- **Mailing address phone:** (704) 840-5662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 12/01/2020