Organization
MARYE ASSISTANCE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS ALLEN (CEO)
(704) 574-5921
Entity
Organization
Contact information
Practice address
3315 WRANGLER LN, CHARLOTTE, NC 28213-2169
(336) 539-0765
Mailing address
3699 NC-62, BURLINGTON, NC 27217
(704) 574-5921
(336) 223-7094
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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