Organization · NPI-2
2nd II None Foundation
Case Management · Charlotte, NC
NPI number1336265032
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1336265032
- Entity type
- Organization (NPI-2)
- Legal business name
- 2nd II None Foundation
- Organization subpart
- No
- Enumeration date
- Mar 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
5820 E Wt Harris BlvdSuite 111
Charlotte, NC 28215-3541
Phone 704-566-6134 · Fax 704-566-6136
Mailing address
Po Box 480794Charlotte, NC 28269-5323
Phone 704-566-6134 · Fax 704-566-6136
Authorized official
Thomas Scott Corbett
Director Of Clinical Services
7045666134
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