Organization
DECONSTRUCT2RECONSTRUCT
Active
Other names
Deconstruct2Reconstruct
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA KILPATRICK MSW (EXECUTIVE DIRECTOR)
(704) 819-3122
Entity
Organization
Contact information
Practice address
206 SASSAFRAS ROAD, MOORESVILLE, NC 28115
(704) 819-3122
Mailing address
206 SASSAFRAS RD, MOORESVILLE, NC 28115-0049
(704) 819-3122
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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