Organization
BRANMARC, INC. FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMICO GRAHAM (OWNER/CCO)
(704) 957-1364
Entity
Organization
Contact information
Practice address
1556 UNION RD STE C, GASTONIA, NC 28054-2208
(980) 474-4032
(804) 744-0329
Mailing address
839 MAJESTIC CT, UNIT 5, GASTONIA, NC 28054-5147
(704) 215-5605
(704) 215-5608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005949
—
NC
05
—
8303293
—
NC
Enumeration date
03/06/2007
Last updated
11/27/2023
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