Organization
CENTER FOR PREVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE GOBLE-CLARK MPA, CSAPC (EXECUTIVE DIRECTOR)
(704) 375-3784
Entity
Organization
Contact information
Practice address
1117 E MOREHEAD ST, CHARLOTTE, NC 28204-2895
(704) 375-3784
(704) 333-3784
Mailing address
1117 E MOREHEAD ST, CHARLOTTE, NC 28204-2895
(704) 375-3784
(704) 333-3784
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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