PROJECT 658

CHARLOTTE, NC
NPI1427502558
Entity TypeOrganization
Authorized ContactMARJORIE LUGIBIHL
Clinic Coordinator
704-733-9934
Organization Subpart ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NC  238539)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: NC  10040A)
Enumeration Date2016-08-05
Last Update Date2022-07-21
Business Address
PROJECT 658
3622 CENTRAL AVE
CHARLOTTE, NC 28205-5638
Phone number: 704-910-5810
Mailing Address
PROJECT 658
3646 CENTRAL AVE
CHARLOTTE, NC 28205-6064
Phone number: 704-733-9934