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Organization

MECKLENBURG COUNTY

Active
Other names
Mecklenburg County Health Department - CAP Services
Organization subpart
No

Provider details

NPI number
Authorized official
RAYNARD E WASHINGTON PHD (HEALTH DIRECTOR)
(980) 579-0671
Entity
Organization

Contact information

Practice address
249 BILLINGSLEY RD, CHARLOTTE, NC 28211-1003
(704) 336-4776
(704) 336-5006
Mailing address
249 BILLINGSLEY RD, CHARLOTTE, NC 28211-1003
(704) 336-4776
(704) 336-5006

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
261QC1500X
Community Health Clinic/Center
261QP0905X
State or Local Public Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408072
NC
Enumeration date
02/13/2007
Last updated
02/01/2022
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