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Organization
SIMTAS DEVELOPMENT GROUP
Active
Organization
SIMTAS DEVELOPMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTEE SIMMONS (OWNER)
(919) 807-9355
Entity
Organization
Contact information
Practice address
1025 AVONDALE RD, LOWELL, NC 28098-1714
(704) 612-6600
Mailing address
125 REMOUNT RD STE C1-1161, CHARLOTTE, NC 28203-6458
(704) 612-6600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/12/2021
Last updated
02/02/2023
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