Organization
FLOURISH FOUNDATION PROJECT
Active
Other names
DDAAT-App
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA L SPATES (CEO)
(704) 661-3005
Entity
Organization
Contact information
Practice address
9107 CARROT PATCH DR, CHARLOTTE, NC 28216-7103
(704) 661-3005
Mailing address
9107 CARROT PATCH DR, CHARLOTTE, NC 28216-7103
(704) 661-3005
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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