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Organization

CAROLINA PATH TO PROGRESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAIAH DAHL (CEO)
(602) 731-1172
Entity
Organization

Contact information

Practice address
5104 REAGAN DR STE 2, CHARLOTTE, NC 28206-1392
(602) 731-1172
Mailing address
5104 REAGAN DR STE 2, CHARLOTTE, NC 28206-1392
(602) 731-1172

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
01/20/2026
Last updated
01/20/2026
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