Organization · Type 2 NPI
Conversion Therapeutic Services Inc
Multi-Specialty Clinic/Center · Charlotte, NC
NPI number
1245094192
Active
Practice location
11535 Carmel Commons Blvd Ste 102
Charlotte, NC 28226-5314
Mailing address
848 Kathy Dianne Dr
Indian Land, SC 29707-6898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1245094192
Conversion Therapeutic Services Inc's National Provider Identifier is 1245094192, issued on Feb 12, 2024. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Charlotte, NC. The record was last updated on Oct 8, 2024.