Organization
CHE BEHAVIORAL HEALTH SERVICES OF NORTH CAROLINA, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GORDON (OWNER)
(888) 515-3834
Entity
Organization
Contact information
Practice address
2015 AYRSLEY TOWN BLVD STE 202, CHARLOTTE, NC 28273-4068
(888) 515-3834
Mailing address
PO BOX 70209, NEWARK, NJ 07101-0077
(888) 515-3834
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/19/2021
Last updated
11/10/2022
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