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Organization

A SAFE PLACE COMMUNITY HOUSING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAUNTA BETHEA (PROGRAM DEVELOPMENT)
(704) 780-0432
Entity
Organization

Contact information

Practice address
2049 HIGHLAND ST, CHARLOTTE, NC 28208-4909
(704) 780-0432
Mailing address
7203 WALDON PARK LN, CHARLOTTE, NC 28214-2385
(704) 780-0432

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
08/11/2017
Last updated
08/11/2017
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