| Charlotte Center For Balanced Living, P.a. | |
|
2125 Southend Dr Ste 252 Charlotte NC 28203-5081 | |
| (704) 378-1390 | |
| (704) 378-1392 |
| Full Name | Charlotte Center For Balanced Living, P.a. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2125 Southend Dr Ste 252, Charlotte, North Carolina |
| Authorized Official Name and Position | Amy S Combs (DIRECTOR) |
| Authorized Official Contact | 7043781390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Center For Balanced Living, P.a. 2125 Southend Dr Ste 452 Charlotte NC 28203-5088 Ph: (704) 378-1390 | Charlotte Center For Balanced Living, P.a. 2125 Southend Dr Ste 252 Charlotte NC 28203-5081 Ph: (704) 378-1390 |
| NPI Number | 1720192107 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720192107 | NPI | - | NPPES |
| 018C2 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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