Mecklenburg Open Door/park Seneca Clinic | |
1515 Mockingbird Lane Suite 1015 Charlotte NC 28209-3294 | |
(704) 525-3255 | |
(704) 525-0949 |
Full Name | Mecklenburg Open Door/park Seneca Clinic |
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Speciality | Community/behavioral Health |
Location | 1515 Mockingbird Lane, Charlotte, North Carolina |
Authorized Official Name and Position | Edward G Payton (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7045253255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mecklenburg Open Door/park Seneca Clinic 1515 Mockingbird Lane Suite 1015 Charlotte NC 28209-3294 Ph: (704) 525-3255 | Mecklenburg Open Door/park Seneca Clinic 1515 Mockingbird Lane Suite 1015 Charlotte NC 28209-3294 Ph: (704) 525-3255 |
NPI Number | 1588805758 |
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Provider Enumeration Date | 03/17/2009 |
Last Update Date | 03/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588805758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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