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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