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Organization
SASSAFRAS TEA CO.
Active
Organization
SASSAFRAS TEA CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIYA WILLIAMS (OFFICER)
(910) 262-1247
Entity
Organization
Contact information
Practice address
521 BRIAR CREEK RD STE A, CHARLOTTE, NC 28205-6904
(980) 227-1229
Mailing address
1817 CRABAPPLE TREE LN, CHARLOTTE, NC 28214-1063
(910) 262-1247
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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