Organization
MECKLENBURG COUNTY PROVIDED SERVICES ORGANIZATION
Active
Other names
Mecklenburg County Area Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE C. MELE MSN,RN,LCAS,PMHCNS-B (DIRECTOR)
(704) 336-7155
Entity
Organization
Contact information
Practice address
3500 ELLINGTON ST, CARLTON WATKINS CENTER, CHARLOTTE, NC 28211-1102
(704) 336-7100
(704) 336-7112
Mailing address
3500 ELLINGTON ST, CARLTON WATKINS CENTER, CHARLOTTE, NC 28211-1102
(704) 336-7100
(704) 336-7112
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301100G
—
NC
Enumeration date
06/08/2012
Last updated
06/08/2012
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