| Center For Self Growth Pllc | |
|
144 W Mountain St Suite 3 Kings Mountain NC 28086-3446 | |
| (704) 607-3324 | |
| (704) 675-5814 |
| Full Name | Center For Self Growth Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 144 W Mountain St, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Terry William Nichols (OWNER/CEO) |
| Authorized Official Contact | 7046073324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Self Growth Pllc 144 W Mountain St Suite 3 Kings Mountain NC 28086-3446 Ph: (704) 607-3324 | Center For Self Growth Pllc 144 W Mountain St Suite 3 Kings Mountain NC 28086-3446 Ph: (704) 607-3324 |
| NPI Number | 1760616296 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760616296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C003021 (North Carolina) | Primary |
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