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Organization

M & B COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAURICE LASHAWN TATE B.S.B.A. (EXECUTIVE DIRECTOR)
(704) 734-5847
Entity
Organization

Contact information

Practice address
602 SLATER ST, KINGS MOUNTAIN, NC 28086-3149
(704) 678-2165
Mailing address
906 BROOKLEE DR, KINGS MOUNTAIN, NC 28086-4155
(704) 734-5847

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/09/2007
Last updated
11/09/2007
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