| Amudipes Outpatient Services | |
|
5111 Dolphin Ln Charlotte NC 28215-3101 | |
| (704) 531-0359 | |
| Not Available |
| Full Name | Amudipes Outpatient Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5111 Dolphin Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Ellen Amudipe (OWNER) |
| Authorized Official Contact | 2158587685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amudipes Outpatient Services 90 Norristown Rd Blue Bell PA 19422-2802 Ph: (215) 858-7685 | Amudipes Outpatient Services 5111 Dolphin Ln Charlotte NC 28215-3101 Ph: (704) 531-0359 |
| NPI Number | 1922303601 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922303601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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