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Organization

BREATHE RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LEANDRA SALLEY MSW (OWNER)
(704) 310-8942
Entity
Organization

Contact information

Practice address
921 SKYWATCH LN, MONROE, NC 28112-7729
(704) 310-8942
Mailing address
921 SKYWATCH LN, MONROE, NC 28112-7729
(704) 310-8942

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-22452
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952756959
NC
Enumeration date
08/28/2018
Last updated
10/25/2018
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