| Affiliated Sante Group Dba Crisys | |
|
810 Tyvola Rd. Ste. 126 Charlotee NC 28217-3536 | |
| (704) 566-3410 | |
| (301) 572-5062 |
| Full Name | Affiliated Sante Group Dba Crisys |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 810 Tyvola Rd. Ste. 126, Charlotee, North Carolina |
| Authorized Official Name and Position | Michelle Grigsby-hackett (CEO) |
| Authorized Official Contact | 3015726358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Sante Group Dba Crisys 810 Tyvola Rd. Ste. 126 Charlotee NC 28217-3536 Ph: (704) 566-3410 | Affiliated Sante Group Dba Crisys 810 Tyvola Rd. Ste. 126 Charlotee NC 28217-3536 Ph: (704) 566-3410 |
| NPI Number | 1700929940 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700929940 | NPI | - | NPPES |
| 8301491 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |