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Organization
AUTISM SERVICES OF MECKLENBURG COUNTY, INC.
Active
Organization
AUTISM SERVICES OF MECKLENBURG COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY ALFORD (BUSINESS MANAGER)
(704) 392-9220
Entity
Organization
Contact information
Practice address
2211-A EXECUTIVE STREET, CHARLOTTE, NC 28208-3655
(704) 392-9220
(704) 392-9221
Mailing address
2211-A EXECUTIVE STREET, CHARLOTTE, NC 28208-3655
(704) 392-9220
(704) 392-9221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NC
310500000X
Mental Illness Intermediate Care Facility
MHL-060-118
NC
310500000X
Mental Illness Intermediate Care Facility
MHL-060-167
NC
310500000X
Mental Illness Intermediate Care Facility
Primary
MHL-060-231
NC
310500000X
Mental Illness Intermediate Care Facility
MHL-060-514
NC
311ZA0620X
Adult Care Home Facility
MHL-060-166
NC
311ZA0620X
Adult Care Home Facility
MHL-060-350
NC
311ZA0620X
Adult Care Home Facility
MHL-060-468
NC
311ZA0620X
Adult Care Home Facility
MHL-060-908
NC
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406022
—
NC
05
—
340602B
—
NC
05
—
340609A
—
NC
05
—
3406362
—
NC
05
—
3408804
—
NC
05
—
341612T
—
NC
05
—
7802270
—
NC
05
—
7803089
—
NC
05
—
7804897
—
NC
Enumeration date
03/07/2007
Last updated
09/13/2018
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