Organization
AVENUES TO SUCCESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYISHA WILLIS MA (EXECUTIVE DIRECTOR)
(540) 819-7342
Entity
Organization
Contact information
Practice address
4822 ALBEMARLE RD STE 220, CHARLOTTE, NC 28205-6612
(540) 819-7342
Mailing address
5009 BEATTIES FORD RD STE 107-308, CHARLOTTE, NC 28216-2859
(540) 819-7342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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