Organization
INTENIONAL COMMUNITY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANI GEORGE (CEO)
(252) 670-3631
Entity
Organization
Contact information
Practice address
3018 PARSIFAL LN, CHARLOTTE, NC 28213-4304
(252) 670-3631
Mailing address
3018 PARSIFAL LN, CHARLOTTE, NC 28213-4304
(252) 670-3631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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