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Organization

URBANIZED LLC

Active
Other names
Urbanized LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JALISA PRECIOUS JACKSON (DIRECTOR)
(980) 258-2704
Entity
Organization

Contact information

Practice address
11413 MANGLA DR, CHARLOTTE, NC 28214-8885
(980) 258-2704
Mailing address
11413 MANGLA DR, CHARLOTTE, NC 28214-8885
(980) 258-2704

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/29/2020
Last updated
10/29/2020
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