Organization
THE 4C COMPANY OF NC, LLC
Active
Organization
THE 4C COMPANY OF NC, LLC
Active
Other names
4C Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WIGFALL MSW (CEO)
(980) 278-3006
Entity
Organization
Contact information
Practice address
240 CHURCH ST NE, CONCORD, NC 28025-4737
(980) 781-1051
(980) 781-1050
Mailing address
9805 STATESVILLE RD STE 4305, CHARLOTTE, NC 28269-7647
(980) 721-1573
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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