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 5026 Lansing Dr , Charlotte NC 28270-6076. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Autism Services Of Mecklenburg County, Inc. can be contacted via phone (704) 392-9220, or through Phillips, Jack Marcellous via phone (704) 921-7464.

Contact Information

Primary practice address
5026 Lansing Dr Charlotte NC 28270-6076
Phone: (704) 392-9220
Fax: (704) 392-9221
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jack Marcellous Master of Arts (MA)
Phone: (704) 921-7464

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL-060-468 North Carolina

Profile Details

NPI number 1881931921
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 Jan 9th, 2013
Last updated Jan 9th, 2013 - about 13 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 1881931921 NPPES
North Carolina MEDICAID 7802270

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