| Chardevelop Llc | |
|
6903 Keeneland Dr Whitsett NC 27377-9842 | |
| (609) 816-4459 | |
| Not Available |
| Full Name | Chardevelop Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6903 Keeneland Dr, Whitsett, North Carolina |
| Authorized Official Name and Position | Everitte Leslie (OWNER) |
| Authorized Official Contact | 6098164459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chardevelop Llc Po Box 141 Sedalia NC 27342-0141 Ph: (609) 816-4459 | Chardevelop Llc 6903 Keeneland Dr Whitsett NC 27377-9842 Ph: (609) 816-4459 |
| NPI Number | 1912777855 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912777855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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