Organization
INTERVENTION CONCEPTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEMIKIA BASKERVILLE (OWNER/DIRECTOR)
(704) 524-5712
Entity
Organization
Contact information
Practice address
326 RIDGE DR, MT HOLLY, NC 28120-1153
(704) 524-5712
Mailing address
1410 KENILWORTH DR, GASTONIA, NC 28052-5106
(704) 524-5712
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/17/2021
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