Organization
CONNECTED TO RECOVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENESHA DEGRAFFENREID (EXECUTIVE DIRECTOR)
(980) 850-9087
Entity
Organization
Contact information
Practice address
6047 TYVOLA GLEN CIR, CHARLOTTE, NC 28217-6431
(980) 850-9087
Mailing address
6047 TYVOLA GLEN CIR, CHARLOTTE, NC 28217-6431
(803) 804-3222
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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