Organization
WELLPATH COMMUNITY CARE CENTERS OF NORTH CAROLINA PC
Active
Organization
WELLPATH COMMUNITY CARE CENTERS OF NORTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DESCOTEAUX MD (PC OWNER)
(615) 838-9333
Entity
Organization
Contact information
Practice address
2422 W SUGAR CREEK RD, CHARLOTTE, NC 28262-3168
(980) 346-5678
Mailing address
1283 MURFREESBORO PIKE STE 500, NASHVILLE, TN 37217-2421
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/03/2021
Last updated
07/12/2022
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