Organization
POSITIVE THERAPEUTIC CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVA A CLARK (THERAPIST)
(803) 378-2895
Entity
Organization
Contact information
Practice address
130 BEN CASEY DR, SUITE 102, FORT MILL, SC 29708
(803) 378-2895
Mailing address
2510 CAPROCK CT, CHARLOTTE, NC 28213-5260
(803) 378-2895
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4958
SC
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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