Innovative Ground Works, Inc

NPI 1104069715 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1104069715
Enumeration Date 04/13/2009
Last Updated 04/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LATISHA LATISHA
Position CEO/EXECUTIVE DIRECTOR
Phone (704) 560-7712
Fax (704) 531-4405
Practice Location
3141 AMITY CT STE 300
CHARLOTTE NC, 28215-5745, US
Phone (704) 560-7712
Fax (704) 531-4405
Business Location
3141 AMITY CT STE 300
CHARLOTTE NC, 28215-5745, US
Phone (704) 560-7712
Fax (704) 531-4405
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Innovative Ground Works, Inc NPI is 1104069715, taxonomy code is 251S00000X Innovative Ground Works, Inc physically located at 3141 Amity Ct Ste 300, Charlotte NC, 28215-5745. NPI Number 1033115704 has the healthcare provider type.

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1104069715 NPI number is provided on an as is basis without warranty of any kind. 1104069715 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Ground Works, Inc are for informational purposes only.