Organization
ALICIA CHAMBERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICICA CHAMBERS (OWNER)
(704) 493-3356
Entity
Organization
Contact information
Practice address
1432 RENFROW LN, CHARLOTTE, NC 28270-1468
(704) 493-3356
Mailing address
1432 RENFROW LN, CHARLOTTE, NC 28270-1468
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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