Broken Pieces Services Llc | |
2020 Remount Rd Ste G100 Gastonia NC 28054-7476 | |
(980) 258-9315 | |
Not Available |
Full Name | Broken Pieces Services Llc |
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Speciality | Community/behavioral Health |
Location | 2020 Remount Rd Ste G100, Gastonia, North Carolina |
Authorized Official Name and Position | Marquitta Russell (AGENCY ADMINISTRATOR) |
Authorized Official Contact | 9802589315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Broken Pieces Services Llc 8021 Bella Vista Ct Charlotte NC 28216-2043 Ph: () - | Broken Pieces Services Llc 2020 Remount Rd Ste G100 Gastonia NC 28054-7476 Ph: (980) 258-9315 |
NPI Number | 1093245417 |
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Provider Enumeration Date | 06/18/2017 |
Last Update Date | 11/15/2023 |
Certification Date | 11/15/2023 |
Identifier | Type | State | Issuer |
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1093245417 | NPI | - | NPPES |
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