Individual
MRS. PATSY Y. CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6421 MONTEITH DR, CHARLOTTE, NC 28213-6025
(704) 596-3493
Mailing address
4904 HAMILTON CIR, CHARLOTTE, NC 28216-2822
(704) 535-4447
(704) 535-4476
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604168
—
NC
Enumeration date
02/08/2007
Last updated
05/15/2019
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