Organization
CHILDRENS ADVOCACY NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKIE MCDUFFIE (OFFICE ADMINISTRATOR)
(704) 833-0154
Entity
Organization
Contact information
Practice address
1371 E GARRISON BLVD STE A, GASTONIA, NC 28054-5155
(704) 833-0154
(704) 833-7076
Mailing address
1371 E GARRISON BLVD STE A, GASTONIA, NC 28054-5155
(704) 833-0154
(704) 833-7076
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300013G
—
NC
Enumeration date
09/10/2007
Last updated
07/21/2022
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