Organization
POSITIVE CHOICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA CLOSE (EXECUTIVE DIRECTOR)
(704) 499-6055
Entity
Organization
Contact information
Practice address
6722 CEDAR SPRINGS RD, CHARLOTTE, NC 28212-5702
(704) 499-6055
(704) 499-6055
Mailing address
PO BOX 25827, CHARLOTTE, NC 28229-5827
(704) 499-6055
(704) 499-6055
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-060-549
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-060-675
NC
Other
Enumeration date
10/25/2006
Last updated
02/14/2008
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