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Organization
CLARKE COMMUNITY SERVICES LLC
Active
Organization
CLARKE COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BIDGOOD (PRESIDENT)
(704) 968-7557
Entity
Organization
Contact information
Practice address
3308 TULANE AVE STE 407, NEW ORLEANS, LA 70119-7158
(504) 821-6830
Mailing address
13016 EASTFIELD RD STE 200-205, HUNTERSVILLE, NC 28078-6622
(704) 968-7557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
06/21/2023
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