Organization
INNOVATIVE GROUND WORKS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATISHA FORD (CEO/EXECUTIVE DIRECTOR)
(704) 560-7712
Entity
Organization
Contact information
Practice address
3141 AMITY CT STE 300, CHARLOTTE, NC 28215-5745
(704) 560-7712
(704) 531-4405
Mailing address
3141 AMITY CT STE 300, CHARLOTTE, NC 28215-5745
(704) 560-7712
(704) 531-4405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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