Organization
AUTISM SERVICES OF MECKLENBURG COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY ALFORD (BUSINESS MANAGER)
(704) 392-9220
Entity
Organization
Contact information
Practice address
2211-A EXECUTIVE STREET, CHARLOTTE, NC 28208-3655
(704) 392-9220
(704) 392-9221
Mailing address
2211-A EXECUTIVE STREET, CHARLOTTE, NC 28208-3655
(704) 392-9220
(704) 392-9221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NC
310500000X
Mental Illness Intermediate Care Facility
MHL-060-118
NC
310500000X
Mental Illness Intermediate Care Facility
MHL-060-167
NC
310500000X
Mental Illness Intermediate Care Facility
Primary
MHL-060-231
NC
310500000X
Mental Illness Intermediate Care Facility
MHL-060-514
NC
311ZA0620X
Adult Care Home Facility
MHL-060-166
NC
311ZA0620X
Adult Care Home Facility
MHL-060-350
NC
311ZA0620X
Adult Care Home Facility
MHL-060-468
NC
311ZA0620X
Adult Care Home Facility
MHL-060-908
NC
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406022
—
NC
05
—
340602B
—
NC
05
—
340609A
—
NC
05
—
3406362
—
NC
05
—
3408804
—
NC
05
—
341612T
—
NC
05
—
7802270
—
NC
05
—
7803089
—
NC
05
—
7804897
—
NC
Enumeration date
03/07/2007
Last updated
09/13/2018
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