Organization
COMMUNITY CONNECTIONS FAMILY LIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETONYA W SHAW (DIRECTOR)
(336) 884-1519
Entity
Organization
Contact information
Practice address
9635 SOUTHERN PINE BLVD, SUITE 112, CHARLOTTE, NC 28273-5558
(336) 884-1519
(336) 884-1519
Mailing address
PO BOX 9238, GREENSBORO, NC 27429-0238
(336) 884-1519
(336) 884-1519
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
05/28/2009
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