Organization
CITY OF PURPOSE
Active
Organization
CITY OF PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WILLIAMS (CHIEF OPERATIONS OFFICER)
(704) 930-0080
Entity
Organization
Contact information
Practice address
4822 ALBEMARLE RD, SUITE 106, CHARLOTTE, NC 28205-6668
(704) 930-0080
Mailing address
4822 ALBEMARLE RD, SUITE 106, CHARLOTTE, NC 28205-6668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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