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Organization
THERAPEUTIC COMMUNITY CONNECTIONS, PLLC
Active
Organization
THERAPEUTIC COMMUNITY CONNECTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINA MICHELE GONZALEZ LPC (EXECUTIVE DIRECTOR)
(704) 999-7588
Entity
Organization
Contact information
Practice address
4804 STOWE DERBY DR, CHARLOTTE, NC 28278-7342
(704) 999-7588
Mailing address
4804 STOWE DERBY DR, CHARLOTTE, NC 28278-7342
(704) 999-7588
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4997
NC
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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