| Superior Healthcare Services | |
|
6636 E Wt Harris Blvd Suite D - E Charlotte NC 28215-5133 | |
| (704) 563-6262 | |
| (704) 563-6210 |
| Full Name | Superior Healthcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6636 E Wt Harris Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Jason Christopher Jones (CEO) |
| Authorized Official Contact | 7043612756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Healthcare Services P.o Box 690546 Charlotte NC 28227 Ph: (704) 563-6262 | Superior Healthcare Services 6636 E Wt Harris Blvd Suite D - E Charlotte NC 28215-5133 Ph: (704) 563-6262 |
| NPI Number | 1578776696 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 01/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578776696 | NPI | - | NPPES |
| 8301682H | Medicaid | NC | |
| 8301682B | Medicaid | NC | |
| 8301682G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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