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Organization

CONVERISON THERAPEUTIC SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSANDRA CRAWFORD CRAWFORD (OWNER)
(943) 231-3621
Entity
Organization

Contact information

Practice address
227 W 4TH ST STE 214, CHARLOTTE, NC 28202-1545
(943) 231-3621
Mailing address
227 W 4TH ST STE 214, CHARLOTTE, NC 28202-1545
(943) 231-3621

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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