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Organization

LIVING FAMILY SUPPORTIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MONICA LATENDA FERRER (CEO)
(704) 606-1575
Entity
Organization

Contact information

Practice address
2538 WEST DIXON BLVD., SHELBY, NC 28150
(704) 606-1575
Mailing address
2538 W DIXON BLVD, SHELBY, NC 28152-9007
(704) 606-1575

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
10/13/2015
Last updated
10/13/2015
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