Organization
SUCCESSFUL MINDS LLC
Active
Other names
Annette W. Burston
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE WILLIAMS BURSTON (OWNER)
(704) 284-8784
Entity
Organization
Contact information
Practice address
2134 -2 CAPERNIUM RD, CHERRYVILLE, NC 28021-9478
(704) 418-7257
Mailing address
2134 -2 CAPERNIUM RD, CHERRYVILLE, NC 28021-9478
(704) 418-7257
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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