Adult Homeless Substance Abuse Treatment-offsite (men's) - Mental Health Clinic in Charlotte, NC

Adult Homeless Substance Abuse Treatment-offsite (men's) is a mental health clinic (Community/behavioral Health) in Charlotte, North Carolina. The current practice location for Adult Homeless Substance Abuse Treatment-offsite (men's) is 1210 N Tryon St, Charlotte, North Carolina. For appointments, you can reach them via phone at (704) 336-6615. The mailing address for Adult Homeless Substance Abuse Treatment-offsite (men's) is 429 Billingsley Rd, Charlotte, North Carolina and phone number is (704) 336-2023.

Adult Homeless Substance Abuse Treatment-offsite (men's) is licensed to practice in North Carolina (license number MHL-060-144) and its NPI number is 1003998212. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (704) 336-6615.

Contact Information

Adult Homeless Substance Abuse Treatment-offsite (men's)
1210 N Tryon St
Charlotte
NC 28206-3256
(704) 336-6615
(704) 423-2421

Mental Health Clinic Profile

Full NameAdult Homeless Substance Abuse Treatment-offsite (men's)
SpecialityCommunity/behavioral Health
Location1210 N Tryon St, Charlotte, North Carolina
Authorized Official Name and PositionGrayce Crockett (AREA DIRECTOR)
Authorized Official Contact7043368638
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adult Homeless Substance Abuse Treatment-offsite (men's)
429 Billingsley Rd
Charlotte
NC 28211-1007

Ph: (704) 336-2023
Adult Homeless Substance Abuse Treatment-offsite (men's)
1210 N Tryon St
Charlotte
NC 28206-3256

Ph: (704) 336-6615

NPI Details:

NPI Number1003998212
Provider Enumeration Date10/19/2006
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Adult Homeless Substance Abuse Treatment-offsite (men's) such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003998212NPI-NPPES
8301099PMedicaidNC
8301099GMedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health MHL-060-144 (North Carolina)Primary

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Community/Behavioral Health in Charlotte, NC

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