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Organization

COMMUNITY CARE LINK OF THE CAROLINAS, INC

Active
Other names
Community Care Link
Organization subpart
No

Provider details

NPI number
Authorized official
MONTOYA CHRISTIAN BOYD BSN,B.MSC (EXECTIVE DIRECTOR)
(980) 322-7279
Entity
Organization

Contact information

Practice address
756 TYVOLA RD, STE 136, CHARLOTTE, NC 28217-3588
(980) 322-7279
(866) 908-6945
Mailing address
756 TYVOLA RD, STE 136, CHARLOTTE, NC 28217-3588
(980) 322-7279

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
EN0829
SC
251B00000X
Case Management Agency
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HIV CASE MGT
NC
Enumeration date
08/29/2012
Last updated
02/07/2013
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