| Oasis Clinical Care Manager, Llc | |
|
6101 Idlewild Rd Charlotte NC 28212-0517 | |
| (704) 536-8381 | |
| Not Available |
| Full Name | Oasis Clinical Care Manager, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6101 Idlewild Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Theodus Roach (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7046041437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Clinical Care Manager, Llc 6101 Idlewild Rd Charlotte NC 28212-0517 Ph: (704) 536-8381 | Oasis Clinical Care Manager, Llc 6101 Idlewild Rd Charlotte NC 28212-0517 Ph: (704) 536-8381 |
| NPI Number | 1619105988 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619105988 | NPI | - | NPPES |
| 6107588 | Medicaid | NC | |
| 6106359 | Medicaid | NC | |
| 2011974 | Medicaid | NC | |
| 89133JF | Medicaid | NC | |
| 6106363 | Medicaid | NC |
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