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Organization
PRIMARY CARE SOLUTIONS INC
Active
Organization
PRIMARY CARE SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISIL BURGOS (QA QI DIRECTOR)
(704) 537-1022
Entity
Organization
Contact information
Practice address
5601 EXECUTIVE CENTER DR STE 200, CHARLOTTE, NC 28212-8841
(704) 537-1022
(704) 569-0822
Mailing address
5601 EXECUTIVE CENTER DR STE 200, CHARLOTTE, NC 28212-8841
(704) 537-1022
(704) 569-0822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
8301186
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NC
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301186B
—
NC
05
—
8301186G
—
NC
Enumeration date
04/11/2007
Last updated
03/24/2022
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