Organization
MELANGE HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BROWN (OWNER)
(704) 567-8690
Entity
Organization
Contact information
Practice address
1818 WEST FIFTH AVENUE, GASTONIA, NC 28054
(704) 671-4123
Mailing address
PO BOX 29234, CHARLOTTE, NC 28229-9234
(704) 567-8690
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-036-295
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL -036-295
DHHS LICENSE
NC
Enumeration date
09/25/2013
Last updated
02/21/2014
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