| Community Choices Inc | |
|
2401 Sardis R. N. Ste 120 Charlotte NC 28227-7722 | |
| (704) 336-4844 | |
| Not Available |
| Full Name | Community Choices Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2401 Sardis R. N. Ste 120, Charlotte, North Carolina |
| Authorized Official Name and Position | Misty Lynn Fulk (VP, QUALITY & SERVICE INTEGRATION) |
| Authorized Official Contact | 7045330166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Choices Inc 2401 Sardis Rd N Ste 120 Charlotte NC 28227-7722 Ph: (704) 336-4844 | Community Choices Inc 2401 Sardis R. N. Ste 120 Charlotte NC 28227-7722 Ph: (704) 336-4844 |
| NPI Number | 1013170638 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 05/12/2022 |
| Certification Date | 04/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013170638 | NPI | - | NPPES |
| 8300424 | Medicaid | NC | |
| 8300424G | Medicaid | NC | |
| 8300424P | Medicaid | NC | |
| 6005632 | Medicaid | NC | |
| 8300424B | Medicaid | NC | |
| 8300424Q | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL060441 (North Carolina) | Primary |
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