| Shore Crisis Management Llc | |
|
227 W 4th St Ste Ll102 Charlotte NC 28202-1545 | |
| (336) 847-9272 | |
| Not Available |
| Full Name | Shore Crisis Management Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 227 W 4th St Ste Ll102, Charlotte, North Carolina |
| Authorized Official Name and Position | Tyrin Bernard Miller (CEO) |
| Authorized Official Contact | 3368479272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Crisis Management Llc 227 W 4th St Ste Ll102 Charlotte NC 28202-1545 Ph: (336) 847-9272 | Shore Crisis Management Llc 227 W 4th St Ste Ll102 Charlotte NC 28202-1545 Ph: (336) 847-9272 |
| NPI Number | 1235930868 |
|---|---|
| Provider Enumeration Date | 03/20/2025 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235930868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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