# THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Other names:** Atrium Health Addiction Services Ballantyne
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124593470
- **Legal business name:** THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
- **Authorized official:** SCOTT RISSMILLER (ENTERPRISE EVP)
- **Authorized official phone:** (704) 355-8675

## Contact information

- **Practice address:** 7825 BALLANTYNE COMMONS PKWY, STE 110, CHARLOTTE, NC 28277-3174
- **Practice address phone:** (704) 446-0391
- **Mailing address:** PO BOX 19305, CHARLOTTE, NC 28219-9305
- **Mailing address phone:** (704) 631-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 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