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Organization

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Active
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Organization

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Active
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other names
Atrium Health Addiction Services Charlotte, Atrium Health Behavioral Health Interventional & Neurocognitive Psy
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
447 BILLINGSLEY RD, COTTAGE A, CHARLOTTE, NC 28211
(704) 444-2400
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
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—

Other

Enumeration date
02/04/2019
Last updated
03/13/2023
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