Organization
HABITUAL ROOTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN ERVIN (EXECUTIVE DIRECTOR / FOUNDER)
(336) 971-1719
Entity
Organization
Contact information
Practice address
1348 GREEN OAKS LN APT N, CHARLOTTE, NC 28205-8334
(336) 971-1719
Mailing address
PO BOX 189017, CHARLOTTE, NC 28218-9017
(844) 355-0555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
04/09/2024
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