| Chs Behavioral Health Partial Hospitalization | |
|
501 Billingsley Road Chs Behavioral Health Charlotte Administration Charlotte NC 28211-1009 | |
| (704) 358-2710 | |
| (704) 358-2938 |
| Full Name | Chs Behavioral Health Partial Hospitalization |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 501 Billingsley Road, Charlotte, North Carolina |
| Authorized Official Name and Position | Anthony Defurio (EVP AND CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7043553304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chs Behavioral Health Partial Hospitalization 501 Billingsley Road Chs Behavioral Health Charlotte Administration Charlotte NC 28211-1009 Ph: (704) 358-2710 | Chs Behavioral Health Partial Hospitalization 501 Billingsley Road Chs Behavioral Health Charlotte Administration Charlotte NC 28211-1009 Ph: (704) 358-2710 |
| NPI Number | 1659560472 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659560472 | NPI | - | NPPES |
| 8300443D | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | MHL-060-009 (North Carolina) | Primary |
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