Organization
ANGELIC COMMUNITY & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC BERNARD MITCHELL SR. (CLINICAL DIRECTOR)
(866) 391-6369
Entity
Organization
Contact information
Practice address
5601 EXECUTIVE CENTER DR, SUITE 220, CHARLOTTE, NC 28212-8863
(704) 532-6369
(866) 293-6371
Mailing address
5601 EXECUTIVE CENTER DR, SUITE 220, CHARLOTTE, NC 28212-8863
(704) 532-6369
(866) 293-6371
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408218
—
NC
Enumeration date
11/23/2006
Last updated
08/22/2020
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