| The Ship Group Services Llc | |
|
3126 Milton Rd Ste 215 Charlotte NC 28215-3778 | |
| (704) 553-5392 | |
| (980) 333-4063 |
| Full Name | The Ship Group Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3126 Milton Rd Ste 215, Charlotte, North Carolina |
| Authorized Official Name and Position | Kerry L. Shipman (DIRECTOR) |
| Authorized Official Contact | 7045535392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ship Group Services Llc Po Box 42915 Charlotte NC 28215-0017 Ph: (704) 553-5392 | The Ship Group Services Llc 3126 Milton Rd Ste 215 Charlotte NC 28215-3778 Ph: (704) 553-5392 |
| NPI Number | 1023768579 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023768579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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