| Autism Services Of Mecklenburg County, Inc. | |
|
2211-a Executive Street Charlotte NC 28208-3655 | |
| (704) 392-9220 | |
| (704) 392-9221 |
| Full Name | Autism Services Of Mecklenburg County, Inc. |
|---|---|
| Speciality | Intermediate Care Facility, Mental Illness |
| Location | 2211-a Executive Street, Charlotte, North Carolina |
| Authorized Official Name and Position | Marcy Alford (BUSINESS MANAGER) |
| Authorized Official Contact | 7043929220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Services Of Mecklenburg County, Inc. 2211-a Executive Street Charlotte NC 28208-3655 Ph: (704) 392-9220 | Autism Services Of Mecklenburg County, Inc. 2211-a Executive Street Charlotte NC 28208-3655 Ph: (704) 392-9220 |
| NPI Number | 1477683308 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477683308 | NPI | - | NPPES |
| 3406362 | Medicaid | NC | |
| 7803089 | Medicaid | NC | |
| 3408804 | Medicaid | NC | |
| 7804897 | Medicaid | NC | |
| 340602B | Medicaid | NC | |
| 3406022 | Medicaid | NC | |
| 340609A | Medicaid | NC | |
| 341612T | Medicaid | NC | |
| 7802270 | Medicaid | NC |
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