# NUEVO DESTINO HEALTH ALLIANCE LLC

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

## Provider details

- **NPI number:** 1578851580
- **Authorized official:** KAREN L MELENDEZ M.D. (OWNER)
- **Authorized official phone:** (704) 732-0513

## Contact information

- **Practice address:** 1244 N FLINT ST, LINCOLNTON, NC 28092-5239
- **Practice address phone:** (704) 732-0513
- **Mailing address:** 1244 N FLINT ST, LINCOLNTON, NC 28092-5239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 2008-01590 | NC | Yes |

## Other

- **Enumeration date:** 07/12/2011
- **Last updated:** 07/12/2011