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Organization
CMC VENTURES LLC
Active
Organization
CMC VENTURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARNARRI COFIELD (CEO)
(980) 206-4227
Entity
Organization
Contact information
Practice address
400 E BROOKLYN VILLAGE AVE UNIT 338, CHARLOTTE, NC 28202-3607
(980) 206-4227
Mailing address
PO BOX 2071, INDIAN TRAIL, NC 28079-2071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
05/29/2024
Last updated
05/30/2024
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