Individual
ROBIN ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5004 GLENVIEW CT, CHARLOTTE, NC 28215-2251
(704) 281-4261
Mailing address
5004 GLENVIEW CT, CHARLOTTE, NC 28215-2251
(704) 281-4261
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-060-852
NC
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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