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Organization
POSITIVE IMPACT THERAPEUTIC SOLUTIONS, LLC
Active
Organization
POSITIVE IMPACT THERAPEUTIC SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TYLICIA DONYELLE LEE (OWNER)
(704) 713-3924
Entity
Organization
Contact information
Practice address
9216 MOORES CHAPEL RD, CHARLOTTE, NC 28214-8738
(704) 713-3924
Mailing address
9216 MOORES CHAPEL RD, CHARLOTTE, NC 28214-8738
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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