Organization
CENTER FOR COUNSELING & REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENTRELL PITTMAN (CEO)
(973) 910-0447
Entity
Organization
Contact information
Practice address
3459 NORTH SHARON AMITY ROAD, SUITE 203, CHARLOTTE, NC 28205-3244
(973) 910-0447
Mailing address
3459 N. SHARON AMITY ROAD, SUITE 203, CHARLOTTE, NC 28205-9917
(973) 910-0447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
315D00000X
Inpatient Hospice
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/26/2010
Last updated
03/01/2016
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