Organization
COHOBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI DE LA CRUZ SPENCER (EMPLOYEE)
(704) 644-9613
Entity
Organization
Contact information
Practice address
700 N TRYON ST, CHARLOTTE, NC 28202-2222
(704) 644-9613
Mailing address
3143 ROSEHILL DR, CHARLOTTE, NC 28212-5722
(704) 644-9613
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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