Organization
FIRST & SECOND CHANCE ADULT CARE SERVICES INC.
Active
Other names
Rose of Sharon
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON EDWARDS BERRYMAN (OWNER)
(704) 252-4094
Entity
Organization
Contact information
Practice address
401 JACKSON PARK RD, KANNAPOLIS, NC 28083-3655
(704) 252-4094
Mailing address
1185 DALE EARNHARDT BLVD, KANNAPOLIS, NC 28083-3201
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-013-170
NC
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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