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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