Organization
MECKLENBURG OPEN DOOR, INC./FF
Active
Organization
MECKLENBURG OPEN DOOR, INC./FF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD G PAYTON (EXECUTIVE DIRECTOR)
(704) 525-3255
Entity
Organization
Contact information
Practice address
3501 E INDEPENDENCE BLVD, CHARLOTTE, NC 28205-7261
(704) 531-1923
(704) 531-1913
Mailing address
1515 MOCKINGBIRD LN, SUITE 1015, CHARLOTTE, NC 28209-3236
(704) 525-3255
(704) 525-0949
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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