Organization
INNOVATIVE COMPLIANCE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESARETA JONES RN (OWNER)
(704) 874-1813
Entity
Organization
Contact information
Practice address
4912 DUNCAN LN, GASTONIA, NC 28056-9361
(704) 874-1813
(704) 874-1803
Mailing address
PO BOX 38514, CHARLOTTE, NC 28278-1009
(704) 874-1813
(704) 874-1803
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
036-309
NC
Other
Enumeration date
06/13/2013
Last updated
02/03/2017
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