Mercy Horizons Substance Abuse Iop

LBN: Behavioral Health Center Mercy Horizons Outpatient Svcs
Mercy Horizons Substance Abuse Iop is an health care organization with primary practice located at 1816 Lyndhurst Avenue Behavioral Health Center Mercy Horizons Outpatient Serv, Charlotte NC 28203-5104. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Behavioral Health Center Mercy Horizons Outpatient Svcs can be contacted via phone (704) 446-0392, or through Gettelman, Thomas E. via phone (704) 446-2406.

Contact Information

Primary practice address
1816 Lyndhurst Avenue Behavioral Health Center Mercy Horizons Outpatient Serv Charlotte NC 28203-5104
Fax: (704) 348-4057
Website:
Authorized official contact:
Name: Gettelman, Thomas E. PHD

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X MHL-060-577 North Carolina

Profile Details

NPI number 1174703920
LBN Legal business name Behavioral Health Center Mercy Horizons Outpatient Svcs
DBA Doing business as Mercy Horizons Substance Abuse Iop
Authorized official Gettelman, Thomas E. PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated Nov 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174703920 NPPES
North Carolina MEDICAID 8300444Q

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