Organization
PEER SUPPORT NC
Active
Other names
Peer Support NC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEON DEVONTE BREEDEN LSCWA (DIRECTOR)
(704) 386-8651
Entity
Organization
Contact information
Practice address
1712 S LAFAYETTE ST, SHELBY, NC 28152-7151
(704) 492-1533
Mailing address
5502 MCCHESNEY DR, CHARLOTTE, NC 28269-7188
(704) 492-5509
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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