Organization
PRIMARY CARE SOLUTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM A. BULLOCK QP (PRESIDENT)
(704) 537-1022
Entity
Organization
Contact information
Practice address
1019 NORLAND RD, CHARLOTTE, NC 28205
(704) 537-1022
(704) 569-0822
Mailing address
5501 EXECUTIVE CENTER DR, SUITE 108, CHARLOTTE, NC 28212-8866
(704) 537-1022
(704) 569-0822
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL-060-586
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603195
—
NC
Enumeration date
02/13/2007
Last updated
06/08/2020
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