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1629767678
KUTOTA CRITICAL INTERVENTION SERVICES LLC
CHARLOTTE, NC
NPI
1629767678
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Entity Type
Organization
Authorized Contact
RAPHAEL BASISA II
CEO
704-498-2400
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
KUTOTA CRITICAL INTERVENTION SERVICES LLC
1213 W MOREHEAD ST STE 500
CHARLOTTE, NC 28208-5581
Phone number: 704-498-2400
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Mailing Address
KUTOTA CRITICAL INTERVENTION SERVICES LLC
1213 W MOREHEAD ST STE 500
CHARLOTTE, NC 28208-5581
Phone number: 704-498-2400
Copy
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