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Organization

CAROLINAS MEDICAL CENTER

Active
Other names
Atrium Health Behavioral Health Partial Hospitalization, CHS Behavioral Health Partial Hospitalization
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY DEFURIO (EVP AND CHIEF FINANCIAL OFFICER)
(704) 355-3304
Entity
Organization

Contact information

Practice address
501 BILLINGSLEY ROAD, CHS BEHAVIORAL HEALTH CHARLOTTE ADMINISTRATION, CHARLOTTE, NC 28211-1009
(704) 358-2710
(704) 358-2938
Mailing address
501 BILLINGSLEY ROAD, CHS BEHAVIORAL HEALTH CHARLOTTE ADMINISTRATION, CHARLOTTE, NC 28211-1009
(704) 358-2710
(704) 358-2938

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-060-009
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300443D
NC
Enumeration date
10/17/2007
Last updated
08/21/2019
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