Organization
COMMUNITY SERVICES OF VA
Active
Other names
Community Services of NC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLY MCDONALD (DIRECTOR OF PROGRAM SERVICES)
(704) 971-0808
Entity
Organization
Contact information
Practice address
8835 RED TAIL CT, CHARLOTTE, NC 28269-3164
(704) 971-0808
Mailing address
PO BOX 43270, CHARLOTTE, NC 28215-0021
(704) 971-0808
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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