# CHARLOTTE CDSA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215270715
- **Authorized official:** MRS. CONSTANCE COOK MELE PMHCNS-BC,CARN-AP (DIRECTOR OF PROVIDED SERVICES)
- **Authorized official phone:** (704) 336-7155

## Contact information

- **Practice address:** 3500 ELLINGTON ST, CARLTON WATKINS CENTER, CHARLOTTE, NC 28211-1102
- **Practice address phone:** (704) 336-7107
- **Practice address fax:** (704) 336-7110
- **Mailing address:** 3500 ELLINGTON ST, CARLTON WATKINS CENTER, CHARLOTTE, NC 28211-1102
- **Mailing address phone:** (704) 336-7107
- **Mailing address fax:** (704) 336-7110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NC | Yes |

## Other

- **Enumeration date:** 04/03/2013
- **Last updated:** 04/03/2013