| Concord Office | |
|
236 Le Phillip Ct Concord NC 28025-1905 | |
| (704) 782-1020 | |
| (704) 782-4535 |
| Full Name | Concord Office |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 236 Le Phillip Ct, Concord, North Carolina |
| Authorized Official Name and Position | Karen Lyn Orsini (VICE PRESIDENT FINANCIAL SVCS) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Office 3060 Peachtree Rd Nw Suite 900 Atlanta GA 30305-2234 Ph: (404) 364-2900 | Concord Office 236 Le Phillip Ct Concord NC 28025-1905 Ph: (704) 782-1020 |
| NPI Number | 1376740423 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376740423 | NPI | - | NPPES |
| 8301543J | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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