| One Love Community Program Inc. | |
|
5701 Executive Center Dr Suite 350 Charlotte NC 28212-8862 | |
| (704) 567-9800 | |
| (866) 577-8514 |
| Full Name | One Love Community Program Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5701 Executive Center Dr, Charlotte, North Carolina |
| Authorized Official Name and Position | Alicia Spivey Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7043077073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Love Community Program Inc. 5701 Executive Center Dr Suite 350 Charlotte NC 28212-8862 Ph: (704) 567-9800 | One Love Community Program Inc. 5701 Executive Center Dr Suite 350 Charlotte NC 28212-8862 Ph: (704) 567-9800 |
| NPI Number | 1134584626 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134584626 | NPI | - | NPPES |
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