Center For Self Growth PLLC
Community/Behavioral Health in Kings Mountain, NC. Organization (NPI-2).
NPI number1760616296
StatusActive
Last updated in NPPESMay 12, 2009
Details
- NPI
- 1760616296
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Self Growth PLLC
- Organization subpart
- No
- Enumeration date
- May 12, 2009
- Last updated
- May 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | C003021 | NC | Yes |
Practice location
144 W Mountain StSuite 3
Kings Mountain, NC 28086-3446
Phone 704-607-3324 · Fax 704-675-5814
Mailing address
144 W Mountain StSuite 3
Kings Mountain, NC 28086-3446
Phone 704-607-3324 · Fax 704-675-5814
Authorized official
Terry William Nichols
Owner/Ceo
7046073324
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