Organization
DETACHED FATHERS AND MOTHERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN SCOTT SAUNDERS (OWNER/CEO)
(704) 930-3994
Entity
Organization
Contact information
Practice address
312 W TRADE ST, CHARLOTTE, NC 28202-1557
(704) 930-3994
Mailing address
8107 UNIVERSITY RIDGE DR, UNIT 108, CHARLOTTE, NC 28213-4114
(704) 930-3994
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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