Organization
NIAS PLACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA DENISE BOYETTE (EXECUTIVE DIRECTOR)
(704) 649-0620
Entity
Organization
Contact information
Practice address
11834 SILVERCREST DR, CHARLOTTE, NC 28215-9903
(704) 649-0620
Mailing address
11834 SILVERCREST DR, CHARLOTTE, NC 28215-9903
(704) 649-0620
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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