Organization
CREATIVE OPPORTUNITIES FOR PERSONAL EMPOWERMENT, LLC
Active
Other names
C.O.P.E
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY GRAHAM MA, LCMHC, LCASA (CHIEF CLINICAL OFFICER)
(704) 247-7111
Entity
Organization
Contact information
Practice address
455 CONCORD PKWY N UNIT 5649, CONCORD, NC 28027-6749
(704) 247-7111
Mailing address
PO BOX 5649, CONCORD, NC 28027-1510
(704) 247-7111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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