Autism Services Of Mecklenburg County, Inc.
LBN: Autism Services Of Mecklenburg County, Inc.
Autism Services Of Mecklenburg County, Inc. is an health care organization with primary practice located at 5300 Kelly St , Charlotte NC 28205-7912. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Autism Services Of Mecklenburg County, Inc. can be contacted via phone (704) 531-1875, or through Phillips, Jack Marcellous via phone (704) 392-9220.
Contact Information
Primary practice address
5300 Kelly St
Charlotte NC 28205-7912
Phone: (704) 531-1875
Fax:
Website:
Authorized official contact:
Name: Phillips, Jack Marcellous Master of Arts (MA)
Phone: (704) 392-9220
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 060-350 | North Carolina |
Profile Details
| NPI number | 1578815940 |
|---|---|
| LBN Legal business name | Autism Services Of Mecklenburg County, Inc. |
| DBA Doing business as | |
| Authorized official | Phillips, Jack Marcellous Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2012 |
| Last updated | Oct 10th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578815940 | NPPES |
| North Carolina | MEDICAID | 7803089 |
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