Therapeutic Intervention Group, Llc

NPI 1275821597 - Psychologist - 103TP0016X

NPI Details
NPI 1275821597
Enumeration Date 07/20/2011
Last Updated 09/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CARLTON CARLTON
Position OWNER
Phone (704) 927-9695
Fax
Practice Location
1100 S MINT ST
SUITE 108
CHARLOTTE NC, 28203-4049, US
Phone (704) 927-9695
Fax
Business Location
1100 S MINT ST
SUITE 108
CHARLOTTE NC, 28203-4049, US
Phone (704) 927-9695
Fax (704) 927-9697
Toxanomy
Taxonomy Code 103TP0016X
License State
License Number
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According to our database, Therapeutic Intervention Group, Llc NPI is 1275821597, taxonomy code is 103TP0016X Therapeutic Intervention Group, Llc physically located at 1100 S Mint St, Charlotte NC, 28203-4049. NPI Number 1033115704 has the healthcare provider type.

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1275821597 NPI number is provided on an as is basis without warranty of any kind. 1275821597 is maintained by the National Plan & Provider Enumeration System. The contents of Therapeutic Intervention Group, Llc are for informational purposes only.