Organization
CALVARY PRESBYTERIAN CHURCH OF CHARLOTTE
Active
Other names
Lighthouse Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R MANDEVILLE (TREASURER)
(704) 341-5330
Entity
Organization
Contact information
Practice address
5801 PINEVILLE-MATTHEWS ROAD, CHARLOTTE, NC 28226
(704) 341-5326
(704) 341-5454
Mailing address
5801 PINEVILLE-MATTHEWS ROAD, CHARLOTTE, NC 28226
(704) 341-5326
(704) 341-5454
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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