Nc Mentor | |
4824 Parkway Plaza Blvd Suite 290 Charlotte NC 28217-1970 | |
(919) 790-8580 | |
(919) 790-8065 |
Full Name | Nc Mentor |
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Speciality | Community/behavioral Health |
Location | 4824 Parkway Plaza Blvd, Charlotte, North Carolina |
Authorized Official Name and Position | Brett Ian Cohen (COO) |
Authorized Official Contact | 8003885150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nc Mentor 313 Congress St Boston MA 02210-1218 Ph: (800) 388-5150 | Nc Mentor 4824 Parkway Plaza Blvd Suite 290 Charlotte NC 28217-1970 Ph: (919) 790-8580 |
NPI Number | 1528108313 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 03/12/2023 |
Certification Date | 03/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528108313 | NPI | - | NPPES |
8300357 | Other | NC | MEDICAID PROVIDER NUMBER |
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