Organization
ALTAVERA BEHAVIORAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KEITH STOUDMIRE SR. MD (MEDICAL DIRECTOR)
(704) 699-5296
Entity
Organization
Contact information
Practice address
432 COPPERFIELD BLVD NE STE 200, CONCORD, NC 28025-2427
(704) 906-9573
Mailing address
432 COPPERFIELD BLVD NE STE 200, CONCORD, NC 28025-2427
(704) 906-9573
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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