| Mecklenburg County Community Support Services | |
|
1210 N Tryon St Charlotte NC 28206-3256 | |
| (704) 816-0260 | |
| Not Available |
| Full Name | Mecklenburg County Community Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1210 N Tryon St, Charlotte, North Carolina |
| Authorized Official Name and Position | Chinita Craighead-davis (SUBSTANCE USE MANAGER) |
| Authorized Official Contact | 7048160260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mecklenburg County Community Support Services 3205 Freedom Dr Ste 2000 Charlotte NC 28208-3486 Ph: (704) 816-0260 | Mecklenburg County Community Support Services 1210 N Tryon St Charlotte NC 28206-3256 Ph: (704) 816-0260 |
| NPI Number | 1609946953 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609946953 | NPI | - | NPPES |
| 6005609 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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