Organization
ECHELON CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX WRIGHT (PRESIDENT)
(704) 594-9119
Entity
Organization
Contact information
Practice address
4724 CARRIAGE DRIVE CIR, CHARLOTTE, NC 28205-4922
(704) 594-9119
(704) 594-9119
Mailing address
7209 E WT HARRIS BLVD STE J, SUITE 207, CHARLOTTE, NC 28227-1004
(704) 594-9119
(704) 594-9119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6604248
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
6604248
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NC
Other
Enumeration date
01/21/2008
Last updated
03/13/2024
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