Organization
THE BLANCHARD INSTITUTE
Active
Parent organization
THE BLANCHARD INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BLANCHARD INSTITUTE
Authorized official
ANGELA OPALAK (DIRECTOR OF BUSINESS OPERATIONS)
(704) 414-7239
Entity
Organization
Contact information
Practice address
19902 N COVE RD, CORNELIUS, NC 28031-6571
(704) 584-4111
(704) 266-1996
Mailing address
10348 PARK RD, CHARLOTTE, NC 28210-8507
(704) 414-7239
(704) 817-7421
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-060-1457
STATE LICENSE
NC
Enumeration date
09/15/2020
Last updated
09/15/2020
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