Organization
GIC OF CHARLOTTE, INC
Active
Other names
Prepared For Promotion
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADIAHA ETTE STRANGE PHD (OWNER/DIRECTOR)
(980) 428-2660
Entity
Organization
Contact information
Practice address
2137 B AVE, CHARLOTTE, NC 28216-3705
(704) 393-8206
(704) 973-7944
Mailing address
2137 B AVE, CHARLOTTE, NC 28216-3705
(704) 393-8206
(704) 973-7944
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-060-949
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409494
—
NC
Enumeration date
09/20/2006
Last updated
07/17/2012
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