Organization
MECKLENBURG COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRAYCE CROCKETT LCSW (AREA DIRECTOR)
(704) 336-8638
Entity
Organization
Contact information
Practice address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 336-2023
(704) 336-8591
Mailing address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 336-2023
(704) 336-8591
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
03/04/2010
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