Organization
DAVIDSON CLERGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WARREN JACOBS M.DIV. (DIRECTOR)
(704) 895-6487
Entity
Organization
Contact information
Practice address
455 S MAIN ST, SUITE 200, DAVIDSON, NC 28036-8019
(704) 895-6487
(704) 655-1481
Mailing address
455 S MAIN ST, SUITE 200, DAVIDSON, NC 28036-8019
(704) 895-6487
(704) 655-1481
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
08/20/2008
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