Basic Concepts - LLC
Community/Behavioral Health in Matthews, NC. Organization (NPI-2).
NPI number1649503269
StatusActive
Last updated in NPPESSep 14, 2009
Details
- NPI
- 1649503269
- Entity type
- Organization (NPI-2)
- Legal business name
- Basic Concepts - LLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2009
- Last updated
- Sep 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
9930 Treeside LnMatthews, NC 28105-7221
Phone 704-674-5464
Mailing address
9930 Treeside LnMatthews, NC 28105-7221
Phone 704-674-5464
Authorized official
Sheba Stowe
Owner
7046745464
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