Organization
DIVERSIFIED COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSEPHINE DOGAN BSW (OWNER)
(803) 448-8417
Entity
Organization
Contact information
Practice address
301 S BATTLEGROUND AVE, KINGS MOUNTAIN, NC 28086-3601
(704) 739-3997
(704) 739-6420
Mailing address
PO BOX 1593, KINGS MOUNTAIN, NC 28086-1593
(704) 739-3997
(704) 739-6420
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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