Autism Services Of Mecklenburg Co. Inc. | |
5215 Pinebrook Dr Charlotte NC 28208-2437 | |
(704) 392-9220 | |
(704) 392-9221 |
Full Name | Autism Services Of Mecklenburg Co. Inc. |
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Speciality | Community/behavioral Health |
Location | 5215 Pinebrook Dr, Charlotte, North Carolina |
Authorized Official Name and Position | Jack Marcellous Phillips (EXECUTIVE DIRECTOR/CEO) |
Authorized Official Contact | 7043929220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Autism Services Of Mecklenburg Co. Inc. 2211 Executive St Ste A Charlotte NC 28208-3655 Ph: (704) 392-9220 | Autism Services Of Mecklenburg Co. Inc. 5215 Pinebrook Dr Charlotte NC 28208-2437 Ph: (704) 392-9220 |
NPI Number | 1952747826 |
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Provider Enumeration Date | 05/17/2013 |
Last Update Date | 05/17/2013 |
Identifier | Type | State | Issuer |
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1952747826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL-060-166 (North Carolina) | Primary |
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