NPI 1013040484
Mecklenburg Open Door, INC.
Practice location
- Address
- 1515 Mockingbird Ln Suite 1015, Charlotte, NC 28209-3236
- Phone
- (704) 525-3255
- Fax
- (704) 525-0949
Authorised official
- Name
- Edward G Payton
- Title
- Executive Director
- Phone
- (704) 525-3255
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1013040484
- Entity type
- Organization
- NPI issued
- 14 Mar 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.