Theraputic Remedy

NPI 1265861082 - Counselor - 101YM0800X

NPI Details
NPI 1265861082
Enumeration Date 11/02/2013
Last Updated 11/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DEREK DEREK
Position OWNER
Phone (704) 651-8097
Fax
Practice Location
5009 BEATTIES FORD RD
SUITE 107-371
CHARLOTTE NC, 28216-2859, US
Phone (704) 651-8097
Fax
Business Location
5009 BEATTIES FORD RD
SUITE 107-371
CHARLOTTE NC, 28216-2859, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Theraputic Remedy NPI is 1265861082, taxonomy code is 101YM0800X Theraputic Remedy physically located at 5009 Beatties Ford Rd, Charlotte NC, 28216-2859. NPI Number 1033115704 has the healthcare provider type.

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1265861082 NPI number is provided on an as is basis without warranty of any kind. 1265861082 is maintained by the National Plan & Provider Enumeration System. The contents of Theraputic Remedy are for informational purposes only.