Organization
MECKLENBURG COUNTY AREA MH, DD AND SA AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRAYCE CROCKETT LCSW (AREA DIRECTOR)
(704) 336-8638
Entity
Organization
Contact information
Practice address
720 E 4TH ST, CHARLOTTE, NC 28202-2884
(704) 432-1020
(704) 432-1021
Mailing address
429 BILLINGSLEY RD, CHARLOTTE, NC 28211-1007
(704) 336-2023
(704) 336-8591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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