Organization
CALI COS HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BACOGEORGE (DIRECTOR)
(704) 361-6671
Entity
Organization
Contact information
Practice address
10815 BEATTIES FORD RD, HUNTERSVILLE, NC 28078
(704) 361-6671
Mailing address
10815 BEATTIES FORD RD, HUNTERSVILLE, NC 28078
(704) 361-6671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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