Organization
CEDAR TREE EMPOWERMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYSIA ALLEN (CO OWNER/ CLINICAL OPERATIONS)
(336) 580-1222
Entity
Organization
Contact information
Practice address
8033 MCCARRON WAY, CHARLOTTE, NC 28215-8713
(704) 284-7330
Mailing address
8033 MCCARRON WAY, CHARLOTTE, NC 28215-8713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/05/2020
Last updated
07/11/2022
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