Organization
CAROLINA COMMUNITY GROUP CABARRUS
Active
Parent organization
993424109
Organization subpart
Yes
Provider details
NPI number
Legal business name
993424109
Authorized official
IVORY D BETHEA (DIRECTOR)
(704) 582-1793
Entity
Organization
Contact information
Practice address
11 UNION ST S STE 310, CONCORD, NC 28025-5073
(704) 912-4505
Mailing address
2905 QUEEN CITY DR STE D, CHARLOTTE, NC 28208-2758
(704) 912-4505
(704) 912-4505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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