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Organization
NEW DIRECTIONS IN COMMUNITY SUPPORT, LLC
Active
Organization
NEW DIRECTIONS IN COMMUNITY SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M HARGROW PH.D. (PSYCHOLOGIST)
(704) 717-2800
Entity
Organization
Contact information
Practice address
1931 J N PEASE PL STE 202, CHARLOTTE, NC 28262-4543
(704) 717-2800
(704) 717-6200
Mailing address
1931 J N PEASE PL STE 202, CHARLOTTE, NC 28262-4543
(704) 717-2800
(704) 717-6200
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
2409
NC
1041C0700X
Clinical Social Worker
C005010
NC
251B00000X
Case Management Agency
2409
NC
251S00000X
Community/Behavioral Health Agency
Primary
2409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302153
—
NC
Enumeration date
01/29/2007
Last updated
01/16/2008
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