Organization
BRADLEY-REID CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA BRADLEY REID M.H.A. (CEO CASE MANAGER)
(704) 333-5686
Entity
Organization
Contact information
Practice address
715 E 5TH ST STE 216, CHARLOTTE, NC 28202-3001
(704) 333-5686
(704) 376-1931
Mailing address
715 E 5TH ST STE 216, CHARLOTTE, NC 28202-3001
(704) 333-5686
(704) 376-1931
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700417
—
NC
Enumeration date
12/26/2006
Last updated
05/13/2011
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