Organization
CLIENT DIRECTED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL TIMOTHY PETERS QP (EXECUTIVE DIRECTOR)
(704) 545-0407
Entity
Organization
Contact information
Practice address
4410 LAUREL TWIG CT, CHARLOTTE, NC 28215-9002
(704) 545-0407
(704) 545-9395
Mailing address
PO BOX 691778, CHARLOTTE, NC 28227-7030
(704) 545-0407
(704) 545-9395
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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