Organization
COMMUNITY IMPACT ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE DAVIS MARCHANT (PARTNER)
(423) 262-0180
Entity
Organization
Contact information
Practice address
2266 N ROAN ST, JOHNSON CITY, TN 37601-2527
(423) 262-0180
(423) 262-0181
Mailing address
2266 N ROAN ST, JOHNSON CITY, TN 37601-2527
(423) 262-0180
(423) 262-0181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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