Organization
ASCENSION GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LOPEZ (CEO)
(704) 844-9238
Entity
Organization
Contact information
Practice address
828 CAMERON VILLAGE DR, 207, MATTHEWS, NC 28105-0913
(704) 844-9238
(704) 844-9238
Mailing address
828 CAMERON VILLAGE DR, 207, MATTHEWS, NC 28105-0913
(704) 844-9238
(704) 844-9238
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
03/28/2011
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