Organization
ECHELON CARE
Active
Other names
Echelon Care
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX WRIGHT (PRESIDENT OWNER)
(704) 594-9119
Entity
Organization
Contact information
Practice address
4508 CARRIAGE DRIVE CIR, CHARLOTTE, NC 28205
(704) 594-9119
(704) 594-9915
Mailing address
7209J WT HARRIS BLVD, SUITE 207, CHARLOTTE, NC 28227
(704) 594-9119
(704) 909-2829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHL060959
NC
251S00000X
Community/Behavioral Health Agency
Primary
6603878
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
6603878
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
060959
NC
Other
Enumeration date
03/16/2007
Last updated
03/13/2024
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