Organization
PRIMARY CARE SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BULLOCK (PRESIDENT/EXECUTIVE DIRECTOR)
(704) 537-1022
Entity
Organization
Contact information
Practice address
6807 IDLEWILD BROOK LN, CHARLOTTE, NC 28212-5858
(704) 537-1022
(704) 569-0822
Mailing address
5601 EXECUTIVE CENTER DR STE 200, CHARLOTTE, NC 28212-8841
(704) 537-1022
(704) 569-0822
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL060586
NC
Other
Enumeration date
08/12/2010
Last updated
10/26/2017
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