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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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