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Organization

CMC-NORTHEAST PSYCHIATRIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN MCKENZIE M.D. (CHIEF OF PSYCHIATRY)
(704) 262-1800
Entity
Organization

Contact information

Practice address
380 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 262-1822
(704) 262-1850
Mailing address
380 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 262-1822
(704) 262-1850

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4329
NC

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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