Organization
INTENSIVE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRUMAINE RODERICK SANDERS M.A. (OWNER)
(704) 756-5254
Entity
Organization
Contact information
Practice address
10912 POINT SOUTH DR APT J, CHARLOTTE, NC 28273-6570
(704) 756-5254
Mailing address
10912 POINT SOUTH DR APT J, CHARLOTTE, NC 28273-6570
(704) 756-5254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
01/08/2013
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