# THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Other names:** Atrium Health Behavioral Health Psychiatry & Counseling, NorthEast Psychiatric Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063849420
- **Legal business name:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 380 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
- **Practice address phone:** (704) 403-1800
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2013
- **Last updated:** 03/09/2023