Organization
CHOCTAW ARCHIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL CUNNINGHAM (SENIOR PROGRAM MANAGER)
(301) 577-0021
Entity
Organization
Contact information
Practice address
2312 BAY ST, CHARLOTTE, NC 28205-6012
(512) 694-3742
Mailing address
2312 BAY ST, CHARLOTTE, NC 28205-6012
(512) 694-3742
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
26628
TX
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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