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Organization

M3 REVIVAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAVON BARNES (CEO)
(704) 900-5208
Entity
Organization

Contact information

Practice address
5201 NATIONS FORD RD STE I, CHARLOTTE, NC 28217-2023
(704) 900-5208
Mailing address
5201 NATIONS FORD RD STE I, CHARLOTTE, NC 28217-2023

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/01/2024
Last updated
05/01/2024
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