NPI 1063554517

Mecklenburg County

Organisation Case Management Agency Charlotte, NC

Practice location

Address: 249 Billingsley Rd, Charlotte, NC 28211-1003
Phone: (704) 336-4776
Fax: (704) 336-5006

Authorised official

Name: Raynard E Washington
Title: Health Director
Phone: (980) 579-0671

Registered specialties (3)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in North Carolina →

Community Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QC1500X

Other Clinic/Center providers in North Carolina →

State or Local Public Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP0905X

Registry record

NPI: 1063554517
Entity type: Organization
NPI issued: 13 Feb 2007
Record last updated: 1 Feb 2022

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.