Organization
COMMUNITY TRANSFORMATION FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERVIN DEXTER BLAKNEY II (OWNER)
(704) 712-1816
Entity
Organization
Contact information
Practice address
1200 E MOREHEAD ST, SUITE 100, CHARLOTTE, NC 28204-2850
(704) 905-6866
Mailing address
1200 E MOREHEAD ST, SUITE 100, CHARLOTTE, NC 28204-2850
(704) 905-6866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2011
Last updated
07/31/2011
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