Organization
INNOVATIVE COMPLIANCE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESARETA JONES RN (DIRECTOR/OWNER)
(704) 609-5288
Entity
Organization
Contact information
Practice address
1550 UNION RD STE A, GASTONIA, NC 28054-5522
(704) 609-5288
Mailing address
PO BOX 38514, CHARLOTTE, NC 28278-1009
(704) 609-5288
(704) 874-1803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
036-269
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604404
—
NC
Enumeration date
05/29/2009
Last updated
06/16/2025
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