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Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other names
Atrium Health Addiction Services Ballantyne
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, STE 110, CHARLOTTE, NC 28277-3174
(704) 446-0391
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
10/12/2018
Last updated
03/09/2023
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