Organization
COUNTY OF CLEVELAND NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M. WASSON (DIRECTOR)
(704) 487-0661
Entity
Organization
Contact information
Practice address
130 S POST RD, SHELBY, NC 28152-6211
(704) 487-0661
(704) 480-5493
Mailing address
DRAWER 9006, SHELBY, NC 28151-9006
(704) 487-0661
(704) 480-5493
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700016
AT RISK CASE MANAGEMENT
NC
Enumeration date
07/10/2007
Last updated
10/29/2024
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