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Organization

KATRINA RENEES SAFE PLACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATRINA R. BRYANT MS, LCAS (OWNER)
(704) 352-8043
Entity
Organization

Contact information

Practice address
5017 ELIZABETH RD, CHARLOTTE, NC 28269-4534
(704) 352-8043
Mailing address
1213 W MOREHEAD ST, CHARLOTTE, NC 28208-5576
(704) 325-8336
(704) 325-8356

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/12/2024
Last updated
04/12/2024
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