Organization
SAGE ALLIANCE INC
Active
Other names
Spirit Central Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE JEANETTE MYERS HENDERSON (SENIOR EXECUTIVE DIRECTOR/ M.I.)
(704) 791-7638
Entity
Organization
Contact information
Practice address
2116 WOODLAWN ST, KANNAPOLIS, NC 28083-3062
(704) 791-7638
(704) 933-4669
Mailing address
2116 WOODLAWN ST, KANNAPOLIS, NC 28083-3062
(704) 791-7638
(704) 933-4669
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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