| Stmichaels Healthcare Services | |
|
12923 Caldwell Rd Charlotte NC 28213-3815 | |
| (302) 559-2726 | |
| Not Available |
| Full Name | Stmichaels Healthcare Services |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 12923 Caldwell Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Michael Ilodigwe (DIRECTOR) |
| Authorized Official Contact | 3025592726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stmichaels Healthcare Services 12923 Caldwell Rd Charlotte NC 28213-3815 Ph: (704) 817-9296 | Stmichaels Healthcare Services 12923 Caldwell Rd Charlotte NC 28213-3815 Ph: (302) 559-2726 |
| NPI Number | 1184155954 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184155954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
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