| Delta Behavioral Group, Pllc | |
|
10926 S Tryon St Ste E Charlotte NC 28273-4154 | |
| (855) 201-5498 | |
| (888) 849-4249 |
| Full Name | Delta Behavioral Group, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10926 S Tryon St Ste E, Charlotte, North Carolina |
| Authorized Official Name and Position | Michael Machose (MANAGING MEMBER/BEHAVIOR ANALYST) |
| Authorized Official Contact | 7049318870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Behavioral Group, Pllc 10926 S Tryon St Ste E Charlotte NC 28273-4154 Ph: (855) 201-5498 | Delta Behavioral Group, Pllc 10926 S Tryon St Ste E Charlotte NC 28273-4154 Ph: (855) 201-5498 |
| NPI Number | 1487904041 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 04/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487904041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4297 (North Carolina) | Primary |
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