Organization
PROMISES12 LTD LLC
Active
Parent organization
PROMISES12 LTD LLC
Other names
Assessments@PROMISES12
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMISES12 LTD LLC
Authorized official
MR. WILLIAM ERIC INGRAM MSW, CSAC (PRESIDENT/OWNER)
(704) 786-1500
Entity
Organization
Contact information
Practice address
35 MEANS AVE SE, CONCORD, NC 28025-3563
(704) 786-1500
(704) 786-1501
Mailing address
3018 ROSEHILL DR, CHARLOTTE, NC 28212-5721
(704) 786-1500
(704) 786-1501
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1146654
NC
Other
Enumeration date
10/16/2017
Last updated
06/16/2018
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