Organization
COMMUNITY TREATMENT ALTERNATIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA DEPASS (EXECUTIVE DIRECTOR)
(704) 323-9266
Entity
Organization
Contact information
Practice address
3517 CROSS WINDS RD, CHARLOTTE, NC 28227
(704) 532-5883
(704) 563-8477
Mailing address
PO BOX 215, MATTHEWS, NC 28106-0215
(704) 323-9266
(704) 563-8477
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
060-857
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL#060-857
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603882
—
NC
Enumeration date
01/29/2007
Last updated
08/29/2018
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