Organization
KEYSTONE CHARLOTTE LLC
Active
Other names
Keys of Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO/SR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
1715 SHARON RD W, CHARLOTTE, NC 28210-5663
(704) 554-9874
(704) 554-9641
Mailing address
1715 SHARON RD W, CHARLOTTE, NC 28210-5663
(704) 554-9874
(704) 554-9641
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
MHL-060-600
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404524
—
NC
05
—
6603904
—
NC
Enumeration date
07/10/2006
Last updated
06/15/2009
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