Organization
GROWTH WELLNESS AND CHANGE CENTER LLC
Active
Other names
Growth Wellness and Change Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD GILKESSON LCSW (CEO)
(704) 222-3443
Entity
Organization
Contact information
Practice address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(704) 222-3443
Mailing address
3411 BETTERTON LN, CHARLOTTE, NC 28269-0154
(704) 222-3443
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
12/13/2021
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