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Organization

BUILDING ENDURANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA TETTEH LCSW (ORGANIZER)
(202) 294-1248
Entity
Organization

Contact information

Practice address
1935 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4541
(980) 288-5486
Mailing address
1935 J N PEASE PL STE 104, CHARLOTTE, NC 28262-4541

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C010048
NC

Other

Enumeration date
08/20/2016
Last updated
11/24/2020
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