Organization
MECKLENBURG COUNTY
Active
Organization
MECKLENBURG COUNTY
Active
Other names
MECKLENBURG COUNTY CHILDRENS DEVELOPMENTAL SERVICES AGENCY, Mecklenburg County Children's Developmental Services Agency
Organization subpart
No
Provider details
NPI number
Authorized official
RAYNARD E WASHINGTON PHD (HEALTH DIRECTOR)
(980) 579-0671
Entity
Organization
Contact information
Practice address
3205 FREEDOM DR STE 7500, CHARLOTTE, NC 28208-3490
(704) 336-7100
Mailing address
700 E 4TH ST, CHARLOTTE, NC 28202-2886
(980) 314-8640
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396814331
—
NC
05
—
3403416
—
NC
Enumeration date
11/06/2006
Last updated
02/01/2022
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