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Organization

CRE CARE MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH HAWK BA, QP (DIRECTOR)
(704) 864-2927
Entity
Organization

Contact information

Practice address
635 COX RD STE F, GASTONIA, NC 28054-3441
(704) 864-2927
(704) 864-2947
Mailing address
635 COX RD STE F, GASTONIA, NC 28054-3441
(704) 864-2927
(704) 864-2947

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603640
NC
05
8301401
NC
Enumeration date
06/21/2007
Last updated
08/22/2020
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