| The Mandalay Group 1 | |
|
2429 Blueberry Ridge Rd Matthews NC 28105-4167 | |
| (704) 849-9132 | |
| (704) 321-9164 |
| Full Name | The Mandalay Group 1 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2429 Blueberry Ridge Rd, Matthews, North Carolina |
| Authorized Official Name and Position | Joyce Marian Fletcher (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048499132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mandalay Group 1 2429 Blueberry Ridge Rd Matthews NC 28105-4167 Ph: (704) 849-9132 | The Mandalay Group 1 2429 Blueberry Ridge Rd Matthews NC 28105-4167 Ph: (704) 849-9132 |
| NPI Number | 1073883328 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073883328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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