Organization
SPECTRA HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY LATRICE HASTIE (OWNER)
(803) 236-7424
Entity
Organization
Contact information
Practice address
2012 HIGHWAY 160 W, FORT MILL, SC 29708-8401
(803) 236-7424
Mailing address
5654 PRESCOTT CT, CHARLOTTE, NC 28269-1330
(803) 236-7424
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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