Organization
TGO ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARRAS G ONISCHENKO PH.D. (CEO/OWNER)
(704) 577-9670
Entity
Organization
Contact information
Practice address
6729 FAIRVIEW RD STE D, CHARLOTTE, NC 28210-0127
(704) 577-9670
Mailing address
6729 FAIRVIEW RD STE D, CHARLOTTE, NC 28210-0127
(704) 577-9670
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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