Organization
DESTINED2 MAKE IT
Active
Other names
Destined2 Make It
Organization subpart
No
Provider details
NPI number
Authorized official
DELBERT ALEXANDER TOWNSEND CERTIFIED (PEER SUPPORT SPECIALIST)
(704) 962-5290
Entity
Organization
Contact information
Practice address
1427 SOUTH BLVD STE 106, CHARLOTTE, NC 28203-4200
(704) 962-5290
(704) 962-5290
Mailing address
4925 SPRINGVIEW RD, CHARLOTTE, NC 28213-6760
(704) 962-5290
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
06/23/2025
Last updated
06/25/2025
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