Angelic Community &and Family Services

NPI #1134328636 in Charlotte, North Carolina

Provider Information

NPI Number
1134328636
Entity Type
Organization
Organization Name
Angelic Community &and Family Services
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jul 13, 2007
Last Updated
Jul 13, 2007

Practice Location

Address
5601 EXECUTIVE CENTER DR
Address 2
SUITE 220
ZIP Code
28212-8863
Phone
(866) 391-6369

Authorized Official

Name
ERIC MITCHELL
Title
DIRECTOR OF OPERATIONS
Phone
(704) 532-6369

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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