Mecklenburg County Children'S Developmental Services Agency

LBN: Mecklenburg County
Mecklenburg County Children'S Developmental Services Agency is an health care organization with primary practice located at 3205 Freedom Dr Ste 7500 , Charlotte NC 28208-3490. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Mecklenburg County can be contacted via phone (704) 336-7100, or through Washington, Raynard E via phone (980) 579-0671.

Contact Information

Primary practice address
3205 Freedom Dr Ste 7500 Charlotte NC 28208-3490
Phone: (704) 336-7100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Washington, Raynard E PHD
Phone: (980) 579-0671

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1396814331
LBN Legal business name Mecklenburg County
DBA Doing business as Mecklenburg County Children'S Developmental Services Agency
Authorized official Washington, Raynard E PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Feb 1st, 2022 - about 2 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 1396814331 NPPES
North Carolina MEDICAID 1396814331
North Carolina MEDICAID 3403416

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