Organization
MECKLENBURG OPEN DOOR, INC.
Active
Organization
MECKLENBURG OPEN DOOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD G PAYTON (EXECUTIVE DIRECTOR)
(704) 525-3255
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN, STE 1015, CHARLOTTE, NC 28209-3236
(704) 525-3255
(704) 525-0949
Mailing address
1515 MOCKINGBIRD LN, STE 1015, CHARLOTTE, NC 28209-3236
(704) 525-3255
(704) 525-0949
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301657B
—
NC
Enumeration date
07/02/2007
Last updated
08/22/2020
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