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Organization

CONNECTIONS BWB INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PHYLLIS HOWARD (SERVICES ANALYST)
(704) 596-5553
Entity
Organization

Contact information

Practice address
8430 UNIVERSITY EXEC PARK DR, SUITE 655, CHARLOTTE, NC 28262-1350
(704) 596-5553
(704) 596-1556
Mailing address
8430 UNIVERSITY EXEC PARK DR, SUITE 655, CHARLOTTE, NC 28262-1350
(704) 596-5553
(704) 596-1556

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
253J00000X
Foster Care Agency
150
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3410158
NC
05
8301891
NC
Enumeration date
04/23/2010
Last updated
04/02/2014
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