TITUS V BROOM

CHARLOTTE, NC
NPI1881168607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
TITUS V BROOM CSAC-R
2211 W MOREHEAD ST
CHARLOTTE, NC 28208-5143
Phone number: 980-422-9653
Mailing Address
TITUS V BROOM CSAC-R
4607 CRICKLEWOOD LN
CHARLOTTE, NC 28212-8525
Phone number: 980-422-9653
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