Organization
DIXON & MATHEW GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEWITT DIXON III (COO)
(704) 840-5662
Entity
Organization
Contact information
Practice address
6823 WAGON OAK RD, CHARLOTTE, NC 28212-8580
(704) 840-5662
Mailing address
6823 WAGON OAK RD, CHARLOTTE, NC 28212-8580
(704) 840-5662
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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