Organization
MECKLENBURG COUNTY AREA MENTAL HEALTH AUTHORITY
Active
Other names
Adult Homeless Substance Abuse Treatment-Offsite (Men's)
Organization subpart
No
Provider details
NPI number
Authorized official
GRAYCE CROCKETT (AREA DIRECTOR)
(704) 336-8638
Entity
Organization
Contact information
Practice address
1210 N TRYON ST, CHARLOTTE, NC 28206-3256
(704) 336-6615
(704) 423-2421
Mailing address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 336-2023
(704) 336-4383
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-060-144
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301099G
—
NC
05
—
8301099P
—
NC
Enumeration date
10/19/2006
Last updated
08/22/2020
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