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Organization
CT18 GROUP LLC
Active
Organization
CT18 GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DANIEL TERRY ESQ (CEO)
(910) 331-5209
Entity
Organization
Contact information
Practice address
318 S SOUTH ST STE 8, GASTONIA, NC 28052-4379
(910) 331-5209
Mailing address
318 S SOUTH ST STE 8, GASTONIA, NC 28052-4379
(910) 331-5209
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
11/15/2021
Last updated
02/25/2022
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