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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Mental Health Clinic · CHARLOTTE, NC

Registration Details

NPI Number
1154641488
Provider Type
Organization
NPI Issued
Jun 9, 2010 (15.869386857515 yrs)
Last Updated
Jun 9, 2010

Practice Information

Address
11808 PROVINCETOWNE DR
CHARLOTTE, NC, 282779165
Browse NC providers · Browse ZIP 28277
Phone
7049055577
Primary Specialty
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.