| Groundwater Solutions, Inc. | |
|
5104 Reagan Dr Ste 5 Charlotte NC 28206-1392 | |
| (704) 596-0505 | |
| (704) 596-0507 |
| Full Name | Groundwater Solutions, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5104 Reagan Dr Ste 5, Charlotte, North Carolina |
| Authorized Official Name and Position | Trasha Black (PRESIDENT) |
| Authorized Official Contact | 7045960505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundwater Solutions, Inc. 5104 Reagan Dr Ste 5 Charlotte NC 28206-1392 Ph: (704) 596-0505 | Groundwater Solutions, Inc. 5104 Reagan Dr Ste 5 Charlotte NC 28206-1392 Ph: (704) 596-0505 |
| NPI Number | 1013532456 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 11/27/2023 |
| Certification Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013532456 | NPI | - | NPPES |
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