Organization
NUEVO DESTINO HEALTH ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L MELENDEZ M.D. (OWNER)
(704) 732-0513
Entity
Organization
Contact information
Practice address
1244 N FLINT ST, LINCOLNTON, NC 28092-5239
(704) 732-0513
Mailing address
1244 N FLINT ST, LINCOLNTON, NC 28092-5239
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
2008-01590
NC
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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