Organization
TIES THAT BIND MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICKA MICHELLE MARTIN (OWNER)
(704) 777-8504
Entity
Organization
Contact information
Practice address
9723 WINGED TRAIL CT, CHARLOTTE, NC 28277-4695
(704) 777-8504
Mailing address
9723 WINGED TRAIL CT, CHARLOTTE, NC 28277-4695
(704) 777-8504
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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