Organization
INNERGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M GIBBS (OWNER)
(704) 965-8918
Entity
Organization
Contact information
Practice address
219 MINITREE LN, CHARLOTTE, NC 28214-0045
(704) 965-8918
Mailing address
219 MINITREE LN, CHARLOTTE, NC 28214-0045
(704) 965-8918
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/14/2009
Last updated
06/29/2012
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