Individual
MS. ANGELA HEADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
1126 VINE CLIFF LN, CHARLOTTE, NC 28214-0001
(704) 822-0604
(704) 822-0604
Mailing address
1126 VINE CLIFF LN, CHARLOTTE, NC 28214-0001
(704) 822-0604
(704) 822-0604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0200571
NC
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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